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General NPI Number Information
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NPI Number | 1205836061
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Entity Type | Individual
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Provider Name | THOMAS SEYMOUR HENRY DPM
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | ROUTE 2 BOX 247 BLACK HAWK HEALTH CENTER
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City | STROUD
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State | OK
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Zip | 74079
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Country | US
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Telephone | 918-968-9531
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Fax | 918-968-1532
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Provider Business Mailing Address
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Address Line | 401 N BEARD ST
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City | SHAWNEE
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State | OK
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Zip | 74801-6715
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Country | US
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Telephone | 405-273-0500
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Fax | 405-273-0500
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 99
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License Number State | OK
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