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NPI 1528946613

NPI 1528946613 : XOCHIT THOMPSON LCSW-C : PAULS VALLEY, OK

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General NPI Number Information
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    NPI Number           |    1528946613
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    Entity Type          |    Individual 
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    Provider Name        |    XOCHIT THOMPSON LCSW-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/26/2025
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    Last Update Date     |    08/26/2025
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Provider Practice Location Address
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    Address Line         |    101 ARROWHEAD DR 
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    City                 |    PAULS VALLEY
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    State                |    OK
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    Zip                  |    73075-5301
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    Country              |    US
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    Telephone            |    580-436-7206
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    Fax                  |    580-272-5757
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Provider Business Mailing Address
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    Address Line         |    124 E MAIN ST STE B4 
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    City                 |    ADA
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    State                |    OK
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    Zip                  |    74820-5623
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    Country              |    US
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    Telephone            |    580-436-7206
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    Fax                  |    580-272-5757
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    21751
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    License Number State |    OK
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