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General NPI Number Information
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NPI Number | 1558257014
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Entity Type | Individual
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Provider Name | MELINDA HIPP MSN, RN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 7127 S OLYMPIA AVE
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City | TULSA
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State | OK
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Zip | 74132-1856
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Country | US
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Telephone | 918-665-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 14833 S VANDALIA AVE
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City | BIXBY
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State | OK
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Zip | 74008-4052
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Country | US
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Telephone | 918-521-8171
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R0131112
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 223678
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License Number State | OK
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