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General NPI Number Information
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NPI Number | 1962399204
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Entity Type | Organization
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Legal Business Name | THE ARC OF THE OZARKS
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 3023 S FORT AVE STE B
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City | SPRINGFIELD
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State | MO
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Zip | 65807-4217
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Country | US
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Telephone | 417-605-7100
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Fax | 417-708-0889
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Provider Business Mailing Address
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Address Line | 2864 S NETTLETON AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5970
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Country | US
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Telephone | 417-605-7100
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Fax | 417-708-0889
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Authorized Official
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Title or Position | VP OF THERAPY SERVICES
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Name | MELANIE LORA STINNETT
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Credential |
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Telephone | 417-324-7607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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