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General NPI Number Information
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NPI Number | 1619499191
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Entity Type | Individual
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Provider Name | MELISSA RUTH CASE RN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2301 W I 44 SERVICE RD STE 300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-8766
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Country | US
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Telephone | 405-607-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 6608 N WESTERN AVE # 1069
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7326
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Country | US
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Telephone | 405-924-2718
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 226813
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R0136921
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License Number State | OK
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