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General NPI Number Information
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NPI Number | 1982953097
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Entity Type | Individual
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Provider Name | TONYA ALLENE HULVEY FNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 802 W MAPLE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72764
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Country | US
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Telephone | 479-757-5400
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Fax | 479-750-4672
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Provider Business Mailing Address
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Address Line | 614 E EMMA AVE STE 300
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City | SPRINGDALE
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State | AR
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Zip | 72764-4469
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Country | US
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Telephone | 479-757-5400
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Fax | 479-750-4672
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R53979
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A03678
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License Number State | AR
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