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General NPI Number Information
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NPI Number | 1295987964
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Entity Type | Organization
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Legal Business Name | WILLIAM L. THOMAS
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 101 MASON ST
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City | CREWE
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State | VA
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Zip | 23930-1745
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Country | US
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Telephone | 434-645-9602
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Fax | 434-645-2029
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Provider Business Mailing Address
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Address Line | 237 E 5TH ST
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City | CHASE CITY
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State | VA
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Zip | 23924-1431
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Country | US
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Telephone | 434-372-3636
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Fax | 434-372-4848
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. WILLIAM L. THOMAS
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Credential | D.D.S., P.C.
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Telephone | 434-645-9602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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