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General NPI Number Information
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NPI Number | 1689535379
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Entity Type | Individual
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Provider Name | MELLISSA WEBSTER WHNP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 3440 RC LUTTRELL DR STE 200
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City | NORMAN
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State | OK
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Zip | 73072-9005
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Country | US
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Telephone | 405-360-1264
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Fax |
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Provider Business Mailing Address
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Address Line | 701 LAWTON
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City | MOORE
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State | OK
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Zip | 73160-3808
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Country | US
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Telephone | 405-924-0270
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 104906003
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License Number State | OK
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