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General NPI Number Information
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NPI Number | 1679070858
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Entity Type | Individual
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Provider Name | LINDA DICK PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 8014 S 101ST EAST AVE STE 200
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City | TULSA
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State | OK
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Zip | 74133-4580
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Country | US
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Telephone | 918-931-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 8014 S 101ST EAST AVE STE 200
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City | TULSA
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State | OK
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Zip | 74133-4580
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Country | US
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Telephone | 918-931-3131
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 826035808
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 826035808
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 82603508
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License Number State | OK
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