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General NPI Number Information
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NPI Number | 1265612709
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Entity Type | Organization
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Legal Business Name | TODD D THOMASON NPC INC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 2350 N UNIVERSITY DR UNIT 841423
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City | PEMBROKE PINES
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State | FL
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Zip | 33084-4106
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Country | US
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Telephone | 954-962-9428
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Fax | 954-962-9429
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Provider Business Mailing Address
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Address Line | PO BOX 841423
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City | PEMBROKE PINES
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State | FL
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Zip | 33084-1423
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Country | US
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Telephone | 954-962-9428
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Fax | 954-962-9429
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Authorized Official
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Title or Position | APRN
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Name | TODD DANIEL THOMASON
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Credential | NP-C
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Telephone | 954-227-8224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN9176643
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License Number State | FL
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