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General NPI Number Information
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NPI Number | 1427715176
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Entity Type | Individual
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Provider Name | THOMAS JAMES FLYNN APRN, CPNP-AC
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Gender | Male
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 550 16TH ST FL 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2545
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Country | US
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Telephone | 415-476-5153
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Fax | 415-476-5363
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Provider Business Mailing Address
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Address Line | 1266 ALAMEDA DE LAS PULGAS
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City | REDWOOD CITY
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State | CA
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Zip | 94061-1902
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Country | US
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Telephone | 404-909-1370
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | RN210393
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | RN210393
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95022416
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License Number State | CA
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