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General NPI Number Information
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NPI Number | 1154231488
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Entity Type | Individual
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Provider Name | DOUGLAS S THOMAS JR. CCC
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Gender | Male
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 2601 W ROSAMOND BLVD
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City | ROSAMOND
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State | CA
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Zip | 93560-6434
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Country | US
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Telephone | 661-256-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 22560 WESTWOOD BLVD
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City | TEHACHAPI
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State | CA
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Zip | 93561-8217
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Country | US
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Telephone | 775-813-2592
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 42186
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License Number State | CA
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