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General NPI Number Information
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NPI Number | 1477418929
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Entity Type | Individual
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Provider Name | EMILY ELISABETH THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 9228 S MINGO RD
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City | TULSA
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State | OK
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Zip | 74133-5718
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Country | US
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Telephone | 918-727-2157
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Fax | 405-378-2776
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Provider Business Mailing Address
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Address Line | 4404 S 131ST EAST AVE
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City | TULSA
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State | OK
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Zip | 74134-5877
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Country | US
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Telephone | 620-330-0681
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 220427
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License Number State | OK
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