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General NPI Number Information
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NPI Number | 1093056707
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Entity Type | Organization
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Legal Business Name | ROBERT G. THOMAS D.D.S. M.S. LTD.
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 3124 SOUTH ROUTE 59 SUITE 132 THOMAS ORTHODONTICS
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City | NAPERVILLE
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State | IL
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Zip | 60564
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Country | US
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Telephone | 630-904-7600
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Fax | 630-904-6501
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Provider Business Mailing Address
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Address Line | 3124 SOUTH ROUTE 59 SUITE 132 THOMAS ORTHODONTICS
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City | NAPERVILLE
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State | IL
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Zip | 60564
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Country | US
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Telephone | 630-904-7600
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Fax | 630-904-6501
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Authorized Official
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Title or Position | ORTHODONTIST/OWNER
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Name | DR. ROBERT GEORGE THOMAS JR.
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Credential | D.D.S., M.S.
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Telephone | 630-904-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | IL
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