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General NPI Number Information
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NPI Number | 1982594008
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Entity Type | Organization
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Legal Business Name | THE FARM CLINIC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1720 S WALTON BLVD STE 6
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City | BENTONVILLE
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State | AR
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Zip | 72712-7533
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Country | US
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Telephone | 479-464-0834
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Fax | 479-464-0836
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Provider Business Mailing Address
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Address Line | 1720 S WALTON BLVD STE 6
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City | BENTONVILLE
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State | AR
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Zip | 72712-7533
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Country | US
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Telephone | 479-464-0834
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Fax | 479-464-0836
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELANIE GARTSIDE
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Credential | DC
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Telephone | 479-464-0834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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