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General NPI Number Information
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NPI Number | 1235837279
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Entity Type | Individual
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Provider Name | MELISSA LOWMAN APRN-CPN
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 106 WEIR RD
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City | RUSSELLVILLE
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State | AR
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Zip | 72802-9445
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Country | US
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Telephone | 479-567-5652
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Fax | 479-567-5653
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Provider Business Mailing Address
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Address Line | 1202 RIDGEWOOD DR
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City | RUSSELLVILLE
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State | AR
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Zip | 72801-5731
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Country | US
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Telephone | 479-595-2946
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Fax | 479-341-1063
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 222228
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License Number State | AR
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