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General NPI Number Information
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NPI Number | 1386473304
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Entity Type | Individual
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Provider Name | MELANIE LAWREN FARMER
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Gender | Female
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 909 W MAIN ST
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City | JACKSONVILLE
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State | AR
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Zip | 72076-4025
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Country | US
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Telephone | 877-315-8080
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Fax | 877-345-4009
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Provider Business Mailing Address
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Address Line | 373 S WILLOW ST STE 266
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City | MANCHESTER
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State | NH
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Zip | 03103-5751
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Country | US
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Telephone | 877-315-8080
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Fax | 877-345-4009
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | AR
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