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General NPI Number Information
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NPI Number | 1376699405
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Entity Type | Individual
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Provider Name | MELANIE LYNNE GRIFFIN D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 5920 HWY 5 N STE 7
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City | BRYANT
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State | AR
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Zip | 72022
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Country | US
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Telephone | 501-847-7026
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Fax | 501-847-7016
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Provider Business Mailing Address
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Address Line | 5920 HWY 5 N STE 7
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City | BRYANT
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State | AR
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Zip | 72022
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Country | US
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Telephone | 501-847-7026
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Fax | 501-847-7016
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1683
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License Number State | AR
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