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General NPI Number Information
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NPI Number | 1760388052
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Entity Type | Organization
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Legal Business Name | MELTED BYC
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Dates
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Enumeration Date | 10/15/2026
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Last Update Date | 10/20/2026
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Provider Practice Location Address
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Address Line | 4936 E 73RD ST STE U
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City | TULSA
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State | OK
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Zip | 74136-7007
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Country | US
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Telephone | 918-934-6223
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Fax |
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Provider Business Mailing Address
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Address Line | 6553 E 31ST ST APT 20
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City | TULSA
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State | OK
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Zip | 74145-1245
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Country | US
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Telephone | 918-934-6223
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGING MEMBER
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Name | MS. CHAMPAGNE ALEXANDRA KEYS
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Credential |
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Telephone | 405-984-7591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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