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General NPI Number Information
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NPI Number | 1730077678
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Entity Type | Individual
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Provider Name | MADELINE JESSOP SEDGWICK
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Gender | Female
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2000 N CLASSEN BLVD STE 2600
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-6027
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Country | US
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Telephone | 405-248-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 N DONALD AVE APT 154
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-8056
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Country | US
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Telephone | 405-323-4233
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | NA
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License Number State | OK
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