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General NPI Number Information
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NPI Number | 1366859423
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Entity Type | Organization
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Legal Business Name | THOMAS FOOT AND ANKLE PLLC
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 5300 N GRAND BLVD SUITE 300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5647
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Country | US
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Telephone | 405-943-6200
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Fax | 405-943-0080
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Provider Business Mailing Address
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Address Line | 5300 N GRAND BLVD SUITE 300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5647
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Country | US
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Telephone | 405-943-6200
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Fax | 405-943-0080
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DIANA MCKEKENZIE
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Credential |
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Telephone | 405-943-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 215
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License Number State | OK
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