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General NPI Number Information
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NPI Number | 1679634604
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Entity Type | Individual
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Provider Name | MELISSA R RICH PHD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 1401 E I 44 SERVICE RD STE A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111-7400
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Country | US
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Telephone | 405-341-1727
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Fax | 405-286-9894
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Provider Business Mailing Address
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Address Line | 501 E 15TH ST SUITE 102
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City | EDMOND
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State | OK
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Zip | 73013-5043
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Country | US
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Telephone | 405-341-1727
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Fax | 405-226-9894
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 012
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License Number State | OK
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