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General NPI Number Information
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NPI Number | 1295785822
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Entity Type | Individual
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Provider Name | KEITH D THOMAS MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 811 E PARRISH AVE
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City | OWENSBORO
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State | KY
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Zip | 42303-3258
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Country | US
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Telephone | 270-684-5005
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Fax | 270-926-4432
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Provider Business Mailing Address
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Address Line | 815 E PARRISH AVE STE 460
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City | OWENSBORO
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State | KY
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Zip | 42303-3222
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Country | US
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Telephone | 270-684-5005
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Fax | 270-926-4432
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01044112A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01044112A
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License Number State | IN
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