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General NPI Number Information
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NPI Number | 1053275164
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Entity Type | Individual
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Provider Name | MELODY C BYRD RRT
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 3003 MEDICAL CENTER DRIVE
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City | KINGFISHER
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State | OK
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Zip | 73750
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Country | US
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Telephone | 580-922-1107
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29
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City | KINGFISHER
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State | OK
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Zip | 73750-0029
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Country | US
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Telephone | 580-922-1107
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 4708
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License Number State | OK
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