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General NPI Number Information
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NPI Number | 1346638814
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Entity Type | Organization
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Legal Business Name | DONNA THOMAS DDS, PC
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 3359 NE RALPH POWELL RD
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City | LEE'S SUMMIT
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State | MO
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Zip | 64064
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Country | US
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Telephone | 816-875-1435
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Fax | 816-524-2338
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Provider Business Mailing Address
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Address Line | 3359 NE RALPH POWELL RD
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City | LEE'S SUMMIT
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State | MO
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Zip | 64064
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Country | US
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Telephone | 816-875-1435
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Fax | 816-524-2338
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | MRS. SUSAN GRAY
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Credential |
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Telephone | 913-663-4867
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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 | 6904
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License Number State | KS
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