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General NPI Number Information
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NPI Number | 1699114165
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Entity Type | Individual
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Provider Name | JENNIFER THOMAS DVM
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Gender | Female
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 2021 CEDAR CT
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City | STILLWATER
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State | OK
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Zip | 74075-8256
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Country | US
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Telephone | 617-968-3163
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2645
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City | STILLWATER
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State | OK
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Zip | 74076-2645
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Country | US
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Telephone | 617-968-3163
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 5551
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 7201
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 174MM1900X
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Taxonomy Name | Medical Research Veterinarian
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License Number | 5551
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License Number State | OK
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