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General NPI Number Information
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NPI Number | 1306922497
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Entity Type | Individual
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Provider Name | MELANIE DEBORAH JONES M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 1001 SCHNEIDER DR
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City | MALVERN
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State | AR
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Zip | 72104-4811
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Country | US
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Telephone | 501-332-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 521 PRESIDENT CLINTON AVE APT 1302
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1783
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Country | US
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Telephone | 501-246-1351
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-4992
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License Number State | AR
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