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General NPI Number Information
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NPI Number | 1952105967
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Entity Type | Organization
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Legal Business Name | LIVINGWELL PLLC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 03/01/2026
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Provider Practice Location Address
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Address Line | 4220 N CROSSOVER RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4593
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Country | US
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Telephone | 479-200-4808
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Fax | 479-505-0297
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Provider Business Mailing Address
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Address Line | 4220 N CROSSOVER RD STE 115
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5624
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | KYNDEL BRECHEISEN
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Credential | APRN
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Telephone | 479-547-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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