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General NPI Number Information
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NPI Number | 1154384634
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH DOUGLAS III M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | US NAVAL HOSPITAL NAPLES
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City | FPO
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State | AA
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Zip | 09618
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Country | US
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Telephone | 314-629-6775
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 808 BOX 554
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City | FPO
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State | AE
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Zip | 09618-0006
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Country | US
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Telephone | 516-298-7708
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 250992
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101240254
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License Number State | VA
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