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General NPI Number Information
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NPI Number | 1366872731
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Entity Type | Organization
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Legal Business Name | WELCOMEHEALTH
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1100 N WOOLSEY AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1847
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Country | US
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Telephone | 479-444-7548
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Fax | 479-444-3381
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Provider Business Mailing Address
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Address Line | 1100 N WOOLSEY AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1847
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Country | US
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Telephone | 479-444-7548
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Fax | 479-444-3381
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. MONIKA FISCHER-MASSIE
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Credential | PH.D.
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Telephone | 479-444-7548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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