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General NPI Number Information
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NPI Number | 1255691739
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Entity Type | Individual
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Provider Name | MICHELLE DIANE HARMON DPT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 5101 HARRISBURG RD
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City | JONESBORO
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State | AR
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Zip | 72404-8729
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Country | US
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Telephone | 870-933-4535
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Fax |
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Provider Business Mailing Address
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Address Line | 3406 W COUNTY ROAD 246
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City | MANILA
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State | AR
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Zip | 72442-9135
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Country | US
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Telephone | 870-520-9676
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3487
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License Number State | AR
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