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General NPI Number Information
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NPI Number | 1396827598
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Entity Type | Individual
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Provider Name | MELINDA G BAIRD ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 N GREEN AVE
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City | PURCELL
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State | OK
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Zip | 73080-1642
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Country | US
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Telephone | 405-527-6524
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Fax | 405-527-6963
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Provider Business Mailing Address
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Address Line | 906 FELAND DR
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City | PURCELL
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State | OK
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Zip | 73080-2103
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Country | US
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Telephone | 405-527-2719
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Fax | 405-527-6963
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R0036547
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License Number State | OK
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