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General NPI Number Information
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NPI Number | 1144760992
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Entity Type | Organization
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Legal Business Name | JAMES M. THOMAS, P.S.
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1200 112TH AVE NE C250
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City | BELLEVUE
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State | WA
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Zip | 98004-3732
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Country | US
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Telephone | 425-208-6485
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 112TH AVE NE C250
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City | BELLEVUE
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State | WA
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Zip | 98004-3732
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES M THOMAS
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Credential | D.D.S, M.S., P.S.
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Telephone | 425-310-8430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DE00010125
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License Number State | WA
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