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NPI 1184903718

NPI 1184903718 : JAMES L THOMAS RPH,CIP : YOUNGSTOWN, OH

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General NPI Number Information
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    NPI Number           |    1184903718
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES L THOMAS RPH,CIP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/13/2011
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    Last Update Date     |    08/13/2011
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Provider Practice Location Address
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    Address Line         |    2701 MARKET ST 
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    City                 |    YOUNGSTOWN
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    State                |    OH
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    Zip                  |    44507-1612
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    Country              |    US
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    Telephone            |    330-782-8240
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8023 E PARKSIDE CT 
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    City                 |    YOUNGSTOWN
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    State                |    OH
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    Zip                  |    44512-5346
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    Country              |    US
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    Telephone            |    330-726-6826
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    03116346
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP034300L
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    License Number State |    PA
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