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General NPI Number Information
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NPI Number | 1972988723
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Entity Type | Individual
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Provider Name | MELISSA BLAIR KELLER APN
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Gender | Female
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 2022 S BUERKLE ST
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City | STUTTGART
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State | AR
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Zip | 72160-6508
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Country | US
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Telephone | 870-659-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 245 MADISON ST
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City | CLARENDON
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State | AR
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Zip | 72029-2706
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Country | US
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Telephone | 870-747-3381
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Fax | 870-747-3631
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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 | A004474
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License Number State | AR
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