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General NPI Number Information
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NPI Number | 1023018819
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Entity Type | Individual
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Provider Name | MELISSA B MYERS DO
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Gender | Female
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 4705 S 129TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74134-7005
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Country | US
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Telephone | 918-615-7261
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Fax | 404-494-7549
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Provider Business Mailing Address
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Address Line | 4705 S 129TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74134-7005
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Country | US
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Telephone | 800-993-8244
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Fax | 404-494-7549
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2964
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License Number State | OK
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