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General NPI Number Information
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NPI Number | 1407265903
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Entity Type | Individual
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Provider Name | THOMAS MCDONALD MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 27027 TOURNEY RD
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City | VALENCIA
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State | CA
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Zip | 91355-5386
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Country | US
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Telephone | 661-799-6704
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Fax |
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Provider Business Mailing Address
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Address Line | 27027 TOURNEY RD
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City | VALENCIA
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State | CA
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Zip | 91355-5386
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Country | US
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Telephone | 661-799-6704
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | A149938
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License Number State | CA
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