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General NPI Number Information
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NPI Number | 1093221202
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Entity Type | Individual
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Provider Name | AMBER THOMAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 1100 N SAINT FRANCIS AVE STE 200
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City | WICHITA
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State | KS
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Zip | 67214-2866
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Country | US
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Telephone | 316-688-8082
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Fax |
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Provider Business Mailing Address
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Address Line | 4251 SE 44TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73135-2103
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH77843
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License Number State | CA
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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 | 16292
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-111789
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License Number State | KS
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