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General NPI Number Information
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NPI Number | 1285662627
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Entity Type | Individual
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Provider Name | THOMAS C CHERRY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 330 WASHINGTON ST SUITE 410
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City | NORWICH
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State | CT
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Zip | 06360-2700
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Country | US
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Telephone | 860-425-5300
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Fax | 860-425-5301
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Provider Business Mailing Address
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Address Line | 112 LAFAYETTE ST
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City | NORWICH
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State | CT
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Zip | 06360-2737
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Country | US
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Telephone | 860-425-8701
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Fax | 860-425-8707
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 024376
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 024376
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License Number State | CT
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