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General NPI Number Information
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NPI Number | 1083624357
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Entity Type | Individual
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Provider Name | GREGORY ALLEN THOMAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 201 SIVLEY RD SW STE 300
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5102
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Country | US
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Telephone | 256-536-5594
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Fax | 256-533-3379
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Provider Business Mailing Address
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Address Line | 930 FRANKLIN ST SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4312
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Country | US
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Telephone | 256-533-3388
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Fax | 256-801-6727
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 25181
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License Number State | AL
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