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General NPI Number Information
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NPI Number | 1174843320
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Entity Type | Organization
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Legal Business Name | THOMAS DME, LLC
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 1050 W UNIVERSITY DR SUITE 1B
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City | ROCHESTER
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State | MI
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Zip | 48307-1877
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Country | US
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Telephone | 248-726-0229
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Fax | 248-726-9556
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Provider Business Mailing Address
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Address Line | 1050 W UNIVERSITY DR STE 1B
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City | ROCHESTER
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State | MI
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Zip | 48307-1877
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Country | US
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Telephone | 248-726-0229
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Fax | 248-726-9559
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMIR HANNA
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Credential | P.T., PHD
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Telephone | 248-650-1984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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