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General NPI Number Information
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NPI Number | 1194930289
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Entity Type | Organization
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Legal Business Name | THOMAS & ROSKOS DMD PC
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7350 S MCCLINTOCK DR STE 104
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City | TEMPE
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State | AZ
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Zip | 85283-5006
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Country | US
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Telephone | 480-838-3233
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Fax | 480-838-4775
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Provider Business Mailing Address
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Address Line | 7350 S MCCLINTOCK DR STE 104
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City | TEMPE
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State | AZ
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Zip | 85283-5006
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Country | US
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Telephone | 480-838-3233
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Fax | 480-383-4775
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Authorized Official
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Title or Position | DR.
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Name | DR. STEPHEN PAUL THOMAS
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Credential | D.M.D.
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Telephone | 480-838-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5631
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License Number State | AZ
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