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General NPI Number Information
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NPI Number | 1982205795
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Entity Type | Organization
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Legal Business Name | ARKANSAS HEALTH AND NUTRITION
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 900 S SHACKLEFORD RD STE 300
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3848
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Country | US
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Telephone | 501-352-1550
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Fax | 501-500-6370
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Provider Business Mailing Address
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Address Line | 900 S SHACKLEFORD RD STE 300
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3848
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Country | US
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Telephone | 501-352-1550
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Fax | 501-500-6370
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Authorized Official
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Title or Position | OWNER
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Name | MARY ELIZABETH DAY
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Credential | MS, RDN. LDN
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Telephone | 501-352-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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