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General NPI Number Information
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NPI Number | 1114831302
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Entity Type | Organization
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Legal Business Name | TREVOR JAMAL THOMAS DDS DC PLLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1010 QUINCY ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-1738
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Country | US
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Telephone | 424-448-2862
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Fax |
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Provider Business Mailing Address
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Address Line | 572 HANK AARON DR SE STE 4100
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City | ATLANTA
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State | GA
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Zip | 30312-2899
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Country | US
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Telephone | 424-448-2862
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | VIOLET AQUINO
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Credential |
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Telephone | 424-448-2862
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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 |
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License Number State | NULL
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