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General NPI Number Information
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NPI Number | 1164658019
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Entity Type | Individual
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Provider Name | BENJAMIN STUART THOMAS MD, MSCI
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Gender | Male
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD TOWER 5, SUITE 300
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City | HONOLULU
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State | HI
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Zip | 96813-4920
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Country | US
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Telephone | 808-531-7111
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Fax | 808-528-5507
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Provider Business Mailing Address
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Address Line | 1670 MAKALOA ST STE 204-324
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City | HONOLULU
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State | HI
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Zip | 96814-3232
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Country | US
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Telephone | 808-531-7111
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Fax | 808-528-5507
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 2013015515
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD-18023
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 073163
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License Number State | GA
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