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General NPI Number Information
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NPI Number | 1245673037
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Entity Type | Individual
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Provider Name | JAMES D THOMAS MA
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Gender | Male
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 117 VALLEY RD
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City | PINEVILLE
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State | KY
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Zip | 40977-1423
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Country | US
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Telephone | 607-765-1075
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Fax | 865-525-0393
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Provider Business Mailing Address
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Address Line | 117 VALLEY RD
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City | PINEVILLE
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State | KY
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Zip | 40977-1423
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Country | US
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Telephone | 607-765-1075
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Fax | 865-525-0393
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 284353
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License Number State | KY
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