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General NPI Number Information
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NPI Number | 1063461341
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Entity Type | Individual
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Provider Name | RYAN C. THOMAS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 4059 W HUNT HWY STE 2
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85144-3858
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Country | US
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Telephone | 480-672-2525
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Fax | 480-672-2528
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Provider Business Mailing Address
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Address Line | 4059 W HUNT HWY STE 2
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85144-3858
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Country | US
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Telephone | 480-672-2525
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Fax | 480-672-2528
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 18155
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS109583
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901601921
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN123267
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D14992
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D010906
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License Number State | AZ
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