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General NPI Number Information
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NPI Number | 1255329652
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Entity Type | Individual
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Provider Name | BEATRIX SYLVIE THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 3 WOODLAND RD SUITE 119
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City | STONEHAM
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State | MA
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Zip | 02180-1702
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Country | US
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Telephone | 781-665-7557
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Fax | 781-662-2957
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Provider Business Mailing Address
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Address Line | 3 WOODLAND RD SUITE 119
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City | STONEHAM
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State | MA
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Zip | 02180-1702
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Country | US
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Telephone | 781-665-7557
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Fax | 781-662-2957
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 44853
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License Number State | MA
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