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General NPI Number Information
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NPI Number | 1730686148
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Entity Type | Individual
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Provider Name | MALISSA LYNNE PYNES MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 5600 S QUEBEC ST STE 312A
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2208
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Country | US
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Telephone | 720-974-7706
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Fax | 303-436-2710
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Provider Business Mailing Address
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Address Line | 3030 NW EXPRESSWAY STE 1000
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5468
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Country | US
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Telephone | 659-255-8207
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Fax | 385-341-4258
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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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | A178272
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | DR.0074310
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License Number State | CO
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