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General NPI Number Information
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NPI Number | 1225203730
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Entity Type | Organization
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Legal Business Name | JOHN A. THOMAS DDS
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 621 S. HARDING
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City | ENID
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State | OK
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Zip | 73703-6319
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Country | US
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Telephone | 580-233-2194
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S HARDING ST
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City | ENID
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State | OK
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Zip | 73703-6319
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Country | US
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Telephone | 580-233-2194
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BETTY J. DUTCHER
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Credential |
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Telephone | 580-233-2194
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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 |
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License Number State |
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