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General NPI Number Information
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NPI Number | 1306877667
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Entity Type | Individual
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Provider Name | MARK DREW THOMAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1115 20TH STREET SUITE 101
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City | HUNTINGTON
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State | WV
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Zip | 25703-2071
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Country | US
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Telephone | 304-399-4121
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Fax | 304-399-4126
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Provider Business Mailing Address
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Address Line | 1448 10TH AVE STE 304
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City | HUNTINGTON
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State | WV
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Zip | 25701-3579
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Country | US
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Telephone | 304-691-6381
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Fax | 304-691-8591
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G3848
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35132150
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 34647
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 2025006931
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 96-387
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License Number State | NM
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