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General NPI Number Information
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NPI Number | 1285740183
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Entity Type | Individual
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Provider Name | CORNELIUS B THOMAS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 880 MONTCLAIR RD STE 470 MONTCLAIR RHEUMATOLOGY PC
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City | BIRMINGHAM
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State | AL
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Zip | 35213
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Country | US
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Telephone | 205-591-2758
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Fax | 205-592-0318
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Provider Business Mailing Address
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Address Line | 880 MONTCLAIR RD STE 470 MONTCLAIR RHEUMATOLOGY PC
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City | BIRMINGHAM
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State | AL
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Zip | 35213
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Country | US
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Telephone | 205-591-2758
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Fax | 205-592-0318
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 00008825
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License Number State | AL
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