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General NPI Number Information
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NPI Number | 1114349362
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Entity Type | Individual
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Provider Name | DEBORAH THOMAS
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Gender | Female
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 1920 E BASELINE RD
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City | TEMPE
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State | AZ
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Zip | 85283-1511
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Country | US
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Telephone | 480-345-5206
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Fax | 480-345-5119
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Provider Business Mailing Address
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Address Line | 4322 S OREGON CT
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City | CHANDLER
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State | AZ
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Zip | 85248-5194
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Country | US
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Telephone | 480-345-5206
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Fax | 480-345-5119
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S009739
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP00005287
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License Number State | NM
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