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General NPI Number Information
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NPI Number | 1912821125
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Entity Type | Individual
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Provider Name | AMY RENEE DUTTON
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 301 N ELLA ST
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City | SEARCY
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State | AR
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Zip | 72143-3214
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Country | US
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Telephone | 501-230-5216
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Fax |
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Provider Business Mailing Address
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Address Line | 987 FOSTER CHAPEL RD
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City | SEARCY
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State | AR
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Zip | 72143-8738
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Country | US
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Telephone | 501-230-5216
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | R050488
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License Number State | AR
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