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General NPI Number Information
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NPI Number | 1043318538
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Entity Type | Individual
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Provider Name | DORIANN R THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 7350 VAN DUSEN RD
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City | LAUREL
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State | MD
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Zip | 20707-5263
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Country | US
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Telephone | 301-725-5398
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Fax | 301-725-8968
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Provider Business Mailing Address
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Address Line | PO BOX 9200 DEPT 6
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City | COLUMBIA
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State | MD
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Zip | 21045-9200
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Country | US
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Telephone | 301-725-5398
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Fax | 301-725-8968
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0044895
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License Number State | MD
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