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General NPI Number Information
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NPI Number | 1144903352
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Entity Type | Individual
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Provider Name | ZOE ANGELICA THOMASON I BSW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 5310 E 31ST ST STE 300
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City | TULSA
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State | OK
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Zip | 74135-5012
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Country | US
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Telephone | 620-870-1781
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Fax |
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Provider Business Mailing Address
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Address Line | 2436 E 10TH ST APT 2
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City | TULSA
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State | OK
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Zip | 74104-3737
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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