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General NPI Number Information
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NPI Number | 1174629109
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Entity Type | Organization
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Legal Business Name | D THOMASON INCORPORATED
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 720 W BYERS AVE
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City | OWENSBORO
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State | KY
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Zip | 42303-6330
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Country | US
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Telephone | 270-683-2400
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Fax | 270-685-4825
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Provider Business Mailing Address
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Address Line | 720 W BYERS AVE
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City | OWENSBORO
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State | KY
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Zip | 42303-6330
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Country | US
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Telephone | 270-683-2400
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Fax | 270-685-4825
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Authorized Official
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Title or Position | OWNER
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Name | DAISY THOMASON
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Credential |
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Telephone | 270-683-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P01845
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License Number State | KY
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