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General NPI Number Information
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NPI Number | 1255102729
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Entity Type | Organization
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Legal Business Name | MELOYMED DIRECT HEALTH, PLLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 6803 W SOUTHGATE ESTATES CT
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City | ROGERS
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State | AR
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Zip | 72758-4271
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Country | US
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Telephone | 321-482-8432
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Fax |
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Provider Business Mailing Address
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Address Line | 6803 W SOUTHGATE ESTATES CT
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City | ROGERS
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State | AR
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Zip | 72758-4271
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Country | US
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Telephone | 918-625-5403
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY ALAN MELOY
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Credential | MD
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Telephone | 321-482-8432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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