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General NPI Number Information
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NPI Number | 1962502526
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Entity Type | Individual
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Provider Name | CINDY S MUSGROVE APN
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Gender | Female
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 1612 EDISON AVE
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City | BENTON
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State | AR
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Zip | 72015-4630
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Country | US
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Telephone | 501-303-5650
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Fax | 501-303-5602
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Provider Business Mailing Address
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Address Line | 5703 NIGHTHAWK RD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-1734
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Country | US
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Telephone | 501-765-1006
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | A001032
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License Number State | AR
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