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General NPI Number Information
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NPI Number | 1164835328
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Entity Type | Organization
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Legal Business Name | THOMAS FAMILY PRACTICE PC
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 1250 COLUMBIA AVE E SUITE A
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City | BATTLE CREEK
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State | MI
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Zip | 49014-5159
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Country | US
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Telephone | 269-883-6049
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 COLUMBIA AVE E SUITE A
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City | BATTLE CREEK
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State | MI
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Zip | 49014-5159
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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 | PRESIDENT
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Name | ALLISON SUE THOMAS
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Credential | M.D
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Telephone | 269-883-6049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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