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General NPI Number Information
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NPI Number | 1982938205
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Entity Type | Individual
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Provider Name | KEIAH HUNT PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 1150 E MATTHEWS AVE STE A
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City | JONESBORO
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State | AR
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Zip | 72401-4346
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Country | US
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Telephone | 870-243-0424
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Fax | 534-248-4225
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Provider Business Mailing Address
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Address Line | 5537 BLEAUX AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-0737
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Country | US
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Telephone | 479-872-5580
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Fax | 479-872-5581
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 216129
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License Number State | AR
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