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NPI Code Detail

MEDICARE: AMIE DOAN

MEDICARE:   AMIE  DOAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianAR

General Provider Information

NPI Number : 1164263604
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIE DOAN
Provider Business Mailing Address
First Line : 2805 ALMA HWY
Second Line :
City : VAN BUREN
State : AR
Zip : 72956-5021
Country : US
Telephone Number : 479-471-9600
Fax Number : 479-430-7596
Provider Business Practice Location Address
First Line : 2805 ALMA HWY
Second Line :
City : VAN BUREN
State : AR
Zip : 72956-5021
Country : US
Telephone Number : 479-471-9600
Fax Number : 479-430-7596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2024
Last Update Date : 06/06/2024

Similar Medicare Providers

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Practice Location Address:
2805 ALMA HWY
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2805 ALMA HWY
VAN BUREN, AR
72956-5021
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Practice Fax:
1932958717 — MIRANDA RENEE POTTS
Practice Location Address:
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VAN BUREN, AR
72956-5021
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1356182299 — LINDEE SMITH
Practice Location Address:
2805 ALMA HWY
VAN BUREN, AR
72956-5021
Practice Phone: 479-471-9600
Practice Fax: 479-430-7596

Directions to “ AMIE DOAN ” Practice Location

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