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General NPI Number Information
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NPI Number | 1851562136
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Entity Type | Organization
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Legal Business Name | THOMAS HEALTH AND REHABILITATION LLC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 601 EAST FRISCO STREET
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City | THOMAS
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State | OK
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Zip | 73669
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Country | US
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Telephone | 580-661-3260
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Fax | 580-661-3263
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Provider Business Mailing Address
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Address Line | 601 EAST FRISCO STREET
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City | THOMAS
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State | OK
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Zip | 73669
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Country | US
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Telephone | 580-661-3260
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Fax | 580-661-3263
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KATHY S EZELL
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Credential |
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Telephone | 580-286-2537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | OK
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