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General NPI Number Information
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NPI Number | 1215841788
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Entity Type | Organization
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Legal Business Name | THAI CRITICAL ACCESS HEALTH PC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 801 E WILLIAMS AVE
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City | FALLON
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State | NV
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Zip | 89406-3052
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Country | US
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Telephone | 702-453-3799
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Fax | 702-453-5741
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Provider Business Mailing Address
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Address Line | PO BOX 18228
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City | RENO
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State | NV
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Zip | 89511-0228
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Country | US
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Telephone | 702-453-3799
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Fax | 702-453-5741
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Authorized Official
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Title or Position | OWNER / PROVDER
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Name | WARREN PHUC THAI
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Credential | M.D.
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Telephone | 775-313-8926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NULL
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