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General NPI Number Information
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NPI Number | 1376652354
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Entity Type | Individual
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Provider Name | ERIKA L. THOMAS LMP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 410 W MAIN STREET
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City | ELMA
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State | WA
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Zip | 98541
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Country | US
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Telephone | 360-229-8308
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 513
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City | ELMA
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State | WA
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Zip | 98541-0513
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Country | US
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Telephone | 360-500-9848
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00020810
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License Number State | WA
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