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1407768252 NPI number — MELANIE SALAS

NPI Number: 1407768252
Health Care Provider/Practitioner: MELANIE SALAS

Information about “1407768252” NPI (MELANIE SALAS) exists in 1407768252 in HTML format HTML  |  1407768252 in plain Text format TXT  |  1407768252 in PDF (Portable Document Format) PDF  |  1407768252 in an XML format XML  formats.

NPI Number : 1407768252 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407768252",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SALAS",
    "FirstName": "MELANIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2558 E MISSION BLVD STE 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAYETTEVILLE",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72703-5603",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-365-4800",
    "MailingAddressFaxNumber": "479-454-4956",
    "FirstLinePracticeLocationAddress": "18502 CARTWRIGHT MOUNTAIN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNTAINBURG",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72946-4012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-446-7641",
    "PracticeLocationAddressFaxNumber": "479-446-7347",
    "EnumerationDate": "09/17/2026",
    "LastUpdateDate": "09/17/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "28376-M",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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