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General NPI Number Information
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NPI Number | 1699419358
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Entity Type | Individual
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Provider Name | HOLLI PAIGE THOMASON
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Gender | Female
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 1616 N GILCREASE MUSEUM RD
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City | TULSA
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State | OK
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Zip | 74127-2101
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Country | US
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Telephone | 918-862-2083
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Fax |
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Provider Business Mailing Address
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Address Line | 1748 E 14TH PL
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City | TULSA
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State | OK
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Zip | 74104-4630
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Country | US
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Telephone | 918-829-4299
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | OK
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