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General NPI Number Information
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NPI Number | 1386161891
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Entity Type | Individual
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Provider Name | ERIC C THOMAS LPCC
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Gender | Male
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 1900 FAIRGROVE AVE
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City | HAMILTON
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State | OH
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Zip | 45011-1966
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Country | US
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Telephone | 513-889-5880
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Fax |
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Provider Business Mailing Address
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Address Line | 7841 RED MILL DR
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City | WEST CHESTER
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State | OH
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Zip | 45069-1730
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Country | US
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Telephone | 513-846-5144
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.1500091
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E1901429
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License Number State | OH
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