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General NPI Number Information
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NPI Number | 1427776467
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Entity Type | Individual
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Provider Name | ERICA DESHAUNE THOMAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 715A DIVISION ST
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City | BILOXI
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State | MS
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Zip | 39530-2209
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Country | US
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Telephone | 228-374-4991
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Fax | 228-436-3720
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Provider Business Mailing Address
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Address Line | 282 BIG LAKE RD APT 112
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City | BILOXI
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State | MS
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Zip | 39531-3711
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Country | US
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Telephone | 228-326-4535
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C7532
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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