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General NPI Number Information
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NPI Number | 1912910050
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Entity Type | Individual
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Provider Name | GUSSIE ANNETT MONEYMAKER APN
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 112 BRANTLEY RD
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City | SEARCY
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State | AR
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Zip | 72143-8315
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Country | US
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Telephone | 501-268-6102
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Fax | 501-268-4445
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Provider Business Mailing Address
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Address Line | 105 KNOLLWOOD DR
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City | SEARCY
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State | AR
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Zip | 72143-8679
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Country | US
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Telephone | 501-207-2738
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Fax | 501-268-4445
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | A01184 ANP
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License Number State | AR
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