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General NPI Number Information
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NPI Number | 1740569391
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Entity Type | Individual
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Provider Name | SUSAN ANN THOMAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2011
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 13313 N MERIDIAN AVE STE C
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8316
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Country | US
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Telephone | 405-254-1757
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 776084
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City | CHICAGO
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State | IL
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Zip | 60677-6084
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301098912
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 43637
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 74607
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License Number State | GA
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