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General NPI Number Information
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NPI Number | 1003732926
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Entity Type | Individual
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Provider Name | ELIZABETH FAITH THOMAS
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 9200 UNIVERSITY BLVD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9121
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Country | US
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Telephone | 810-224-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 9541 LONGMEADOW ST
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City | FENTON
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State | MI
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Zip | 48430-8738
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Country | US
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Telephone | 810-224-8585
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | T900000092246
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License Number State | MI
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