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General NPI Number Information
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NPI Number | 1871118059
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Entity Type | Organization
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Legal Business Name | URA RESOURCE CENTER, LLC
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 25 NORTHWOOD DR
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City | CONWAY
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State | AR
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Zip | 72034-3410
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Country | US
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Telephone | 501-291-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 25 NORTHWOOD DR
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City | CONWAY
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State | AR
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Zip | 72034-3410
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Country | US
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Telephone | 501-291-8775
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Fax |
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Authorized Official
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Title or Position | HEALTH EDUCATOR
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Name | MRS. LATONYA RATESA BYNUM
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Credential | CHES
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Telephone | 501-291-8775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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