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General NPI Number Information
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NPI Number | 1073544235
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Entity Type | Individual
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Provider Name | THOMAS ANDREW DAMATO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 100 HILLCREST MEDICAL BLVD
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City | WACO
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State | TX
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Zip | 76712-8897
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Country | US
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Telephone | 254-202-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-215-9704
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Fax | 254-215-9699
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.092950
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD055447L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G85983
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 010124336
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 250779
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD055447L
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25100
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License Number State | NE
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Taxonomy #8
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | G85983
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 250779
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 35.092950
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 25100
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License Number State | NE
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Taxonomy #12
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 010124336
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License Number State | VA
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