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General NPI Number Information
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NPI Number | 1407768252
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Entity Type | Individual
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Provider Name | MELANIE SALAS
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 18502 CARTWRIGHT MOUNTAIN RD
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City | MOUNTAINBURG
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State | AR
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Zip | 72946-4012
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Country | US
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Telephone | 479-446-7641
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Fax | 479-446-7347
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Provider Business Mailing Address
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Address Line | 2558 E MISSION BLVD STE 202
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5603
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Country | US
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Telephone | 479-365-4800
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Fax | 479-454-4956
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 28376-M
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License Number State | AR
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