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General NPI Number Information
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NPI Number | 1891620894
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Entity Type | Individual
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Provider Name | FAITH EALY
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Gender | Female
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 133 HUDSON BRANCH DR
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City | AUSTIN
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State | AR
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Zip | 72007-9719
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Country | US
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Telephone | 501-786-3093
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Fax |
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Provider Business Mailing Address
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Address Line | 133 HUDSON BRANCH DR
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City | AUSTIN
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State | AR
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Zip | 72007-9719
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Country | US
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Telephone | 501-786-3093
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number | R096805
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License Number State | AR
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