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General NPI Number Information
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NPI Number | 1154432094
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Entity Type | Individual
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Provider Name | THOMAS ANDREW WEBSTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-1089
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Country | US
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Telephone | 850-452-8051
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 WALNUT SPRINGS BLVD
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City | SYLVANIA
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State | OH
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Zip | 43560-8617
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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 |
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 295776
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 0431962
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | MD60851665
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License Number State | WA
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