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General NPI Number Information
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NPI Number | 1295762540
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Entity Type | Organization
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Legal Business Name | SURGICAL CLINIC PC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 121 N 20TH ST BLDG 3
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City | OPELIKA
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State | AL
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Zip | 36801-5449
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Country | US
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Telephone | 334-745-6271
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Fax | 334-742-9879
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Provider Business Mailing Address
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Address Line | 121 N 20TH ST BLDG 3
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City | OPELIKA
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State | AL
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Zip | 36801-5449
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Country | US
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Telephone | 334-745-6271
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Fax | 334-742-9879
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN S THOMAS
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Credential | MD
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Telephone | 334-745-6271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 00012101
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License Number State | AL
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