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General NPI Number Information
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NPI Number | 1386824480
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Entity Type | Individual
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Provider Name | MARGIE A THOMAS
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Gender | Female
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 1386 VILLAGE WAY APT 508
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City | FREMONT
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State | OH
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Zip | 43420-3241
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Country | US
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Telephone | 440-320-6496
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Fax | 419-334-5881
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Provider Business Mailing Address
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Address Line | 1386 VILLAGE WAY APT 508
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City | FREMONT
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State | OH
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Zip | 43420-3241
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Country | US
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Telephone | 440-320-6496
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Fax | 419-334-5881
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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 | PN.086542 IV
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License Number State | OH
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