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General NPI Number Information
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NPI Number | 1053362731
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Entity Type | Individual
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Provider Name | ERIC DAVID THOMAS MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 169 MARTIN AVE
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City | EPHRATA
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State | PA
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Zip | 17522-1734
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Country | US
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Telephone | 717-733-0311
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 E MAPLEWOOD AVE STE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4727
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Country | US
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Telephone | 352-867-8898
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Fax | 352-732-6282
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME42474
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD048867L
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License Number State | PA
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