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General NPI Number Information
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NPI Number | 1992476204
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Entity Type | Organization
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Legal Business Name | CHRISTIE KELLER DNP PLLC
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Dates
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Enumeration Date | 09/26/2021
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Last Update Date | 09/26/2021
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Provider Practice Location Address
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Address Line | 2233 N GREEN ACRES RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2833
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Country | US
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Telephone | 479-575-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 2233 N GREEN ACRES RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2833
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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 | BILLING
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Name | CARRIE YEARMAN
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Credential |
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Telephone | 870-405-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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