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General NPI Number Information
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NPI Number | 1851401327
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Entity Type | Individual
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Provider Name | MELISSA JO YATES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 57950 LEAVENWORTH ST 22 MDSS/SGSAP
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City | MCCONNELL AFB
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State | KS
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Zip | 67221-3506
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Country | US
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Telephone | 316-759-5509
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Fax | 316-759-5038
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Provider Business Mailing Address
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Address Line | 1111 N LEE AVE STE 248
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2625
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Country | US
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Telephone | 405-766-6588
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Fax | 888-491-5888
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20378
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP045741
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License Number State | PA
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