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NPI 1205083508

NPI 1205083508 : MELANIE BETH PIERCE M.S., CCC-SLP : JESSIEVILLE, AR

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General NPI Number Information
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    NPI Number           |    1205083508
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    Entity Type          |    Individual 
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    Provider Name        |    MELANIE BETH PIERCE M.S., CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2008
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    Last Update Date     |    08/19/2008
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Provider Practice Location Address
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    Address Line         |    7900 HIGHWAY 7 NORTH JESSIEVILLE SCHOOL
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    City                 |    JESSIEVILLE
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    State                |    AR
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    Zip                  |    71949
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    Country              |    US
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    Telephone            |    501-984-4216
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2A MEDINA WAY 
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    City                 |    HOT SPRINGS
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    State                |    AR
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    Zip                  |    71909-4307
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    Country              |    US
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    Telephone            |    501-922-3497
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    Fax                  |    
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    585
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    License Number State |    AR
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