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General NPI Number Information
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NPI Number | 1255837894
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Entity Type | Individual
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Provider Name | DANIELLE L THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 817 SHEPPARD ST. (LAGNIAPPE MEDICAL CLINIC)
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City | MINDEN
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State | LA
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Zip | 71055
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Country | US
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Telephone | 318-371-3838
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Fax | 318-371-3839
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Provider Business Mailing Address
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Address Line | 104 MORRIS CIRCLE (HOMER MEDICAL CLINIC)
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City | HOMER
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State | LA
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Zip | 71040-2109
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Country | US
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Telephone | 318-927-6777
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Fax | 318-927-6714
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 327899
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 327899
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License Number State | LA
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