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General NPI Number Information
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NPI Number | 1760996276
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Entity Type | Individual
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Provider Name | MELANIE LYNN HEARNSBERGER MCGUIRE APRN
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Gender | Female
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 234 NEVADA 222 E
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City | PRESCOTT
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State | AR
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Zip | 71857-8101
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Country | US
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Telephone | 870-703-4603
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Fax | 870-703-4603
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Provider Business Mailing Address
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Address Line | 234 NEVADA 222 E
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City | PRESCOTT
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State | AR
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Zip | 71857-8101
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Country | US
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Telephone | 870-703-4603
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A005425
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License Number State | AR
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