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General NPI Number Information
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NPI Number | 1356867923
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Entity Type | Individual
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Provider Name | PATRICIA LEWIS THOMAS
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Gender | Female
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 08/16/2017
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Provider Practice Location Address
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Address Line | 926 SNOW HILL RD # 200
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City | SALISBURY
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State | MD
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Zip | 21804-1939
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Country | US
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Telephone | 410-742-3460
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Fax | 410-742-5810
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Provider Business Mailing Address
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Address Line | 6040 PUBLIC LANDING RD
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City | SNOW HILL
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State | MD
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Zip | 21863-2453
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Country | US
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Telephone | 410-632-1100
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Fax | 410-632-5682
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP51852
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License Number State | MD
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