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General NPI Number Information
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NPI Number | 1225924525
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Entity Type | Individual
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Provider Name | MELISSA JAYNE DELGADO PERKINS PTA
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 6401 NW 39TH EXPY
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City | BETHANY
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State | OK
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Zip | 73008-2868
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Country | US
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Telephone | 405-981-4001
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Fax |
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Provider Business Mailing Address
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Address Line | 3113 KERRY LN
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-2217
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3912
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License Number State | OK
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