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General NPI Number Information
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NPI Number | 1528051687
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Entity Type | Individual
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Provider Name | MELANIE W CONWAY MD
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Gender | Female
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 1405 NORTH PIERCE SUITE 212
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City | LITTLE ROCK
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State | AR
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Zip | 72207
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Country | US
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Telephone | 501-664-0091
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Fax | 501-664-0112
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Provider Business Mailing Address
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Address Line | 1405 N PIERCE ST STE 307
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City | LITTLE ROCK
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State | AR
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Zip | 72207-5377
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Country | US
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Telephone | 501-773-3329
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Fax | 331-204-0856
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E-1763
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License Number State | AR
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