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General NPI Number Information
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NPI Number | 1205825155
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Entity Type | Individual
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Provider Name | JAMES MCNEIL THOMAS MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 1841 QUIET CV
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3857
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Country | US
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Telephone | 910-323-2626
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Fax | 910-483-6376
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Provider Business Mailing Address
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Address Line | PO BOX 64367
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-0367
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Country | US
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Telephone | 910-323-2626
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Fax | 910-483-6376
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 32587
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License Number State | NC
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