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General NPI Number Information
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NPI Number | 1215211693
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Entity Type | Individual
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Provider Name | MRS. SAUMY SUNNY THOMAS
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Gender | Female
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 15111 S MEMORIAL DR
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City | BIXBY
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State | OK
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Zip | 74008-4123
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Country | US
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Telephone | 918-366-2910
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Fax |
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Provider Business Mailing Address
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Address Line | 7317 E 112TH ST S
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City | BIXBY
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State | OK
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Zip | 74008-2163
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Country | US
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Telephone | 918-808-0481
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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 | 14300
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License Number State | OK
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