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General NPI Number Information
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NPI Number | 1134113640
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Entity Type | Individual
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Provider Name | CHERRYL L THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 18 CENTRE DR. SUITE 205
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City | MONROE TWP
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State | NJ
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Zip | 08831
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Country | US
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Telephone | 732-658-1375
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Fax | 732-658-1376
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Provider Business Mailing Address
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Address Line | PO BOX 58
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City | FRANKLIN PARK
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State | NJ
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Zip | 08823-0058
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Country | US
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Telephone | 732-658-1375
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Fax | 732-658-1376
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA05345200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA05345200
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License Number State | NJ
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