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General NPI Number Information
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NPI Number | 1255663233
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Entity Type | Organization
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Legal Business Name | WINSTON S THOMAS, MD, PC
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 3033 N CENTRAL AVE STE 610
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City | PHOENIX
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State | AZ
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Zip | 85012-2809
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Country | US
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Telephone | 602-266-1556
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Fax | 602-279-5333
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Provider Business Mailing Address
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Address Line | 3033 N CENTRAL AVE STE 610
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City | PHOENIX
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State | AZ
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Zip | 85012-2809
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Country | US
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Telephone | 602-266-1556
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Fax | 602-279-5333
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Authorized Official
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Title or Position | OWNER
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Name | WINSTON S THOMAS
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Credential | M.D.
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Telephone | 602-266-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD19200
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License Number State | AZ
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