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General NPI Number Information
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NPI Number | 1225177280
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Entity Type | Individual
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Provider Name | MELANIE RACHELL PEARCE SMITH D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 55 W SUNBRIDGE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1825
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Country | US
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Telephone | 479-442-6266
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Fax | 479-521-3877
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Provider Business Mailing Address
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Address Line | PO BOX 1523
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City | FAYETTEVILLE
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State | AR
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Zip | 72702-1523
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Country | US
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Telephone | 479-571-6038
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Fax | 479-582-0222
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4431
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E-18566
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License Number State | AR
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