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General NPI Number Information
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NPI Number | 1295954915
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Entity Type | Individual
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Provider Name | MARY ELLA THOMAS RN
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5554 ALBANY SPRINGS DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-7001
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Country | US
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Telephone | 740-973-5131
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Fax | 614-948-1140
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Provider Business Mailing Address
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Address Line | PO BOX 272034
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City | COLUMBUS
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State | OH
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Zip | 43227-8034
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Country | US
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Telephone | 740-973-5131
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Fax | 614-948-1140
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN-291271
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License Number State | OH
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