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General NPI Number Information
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NPI Number | 1154407591
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Entity Type | Individual
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Provider Name | ALLYN M THAMES III D.M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 719 N DEAN RD
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City | AUBURN
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State | AL
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Zip | 36830-6622
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Country | US
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Telephone | 334-501-7000
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Fax | 334-501-7062
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Provider Business Mailing Address
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Address Line | 719 N DEAN RD
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City | AUBURN
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State | AL
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Zip | 36830-6622
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Country | US
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Telephone | 334-501-7000
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Fax | 334-501-7062
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | AL5350
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License Number State | AL
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