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General NPI Number Information
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NPI Number | 1427962208
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Entity Type | Individual
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Provider Name | MICHAEL THOMAS
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Gender | Male
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 13621 V AVE
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City | CEDAR FALLS
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State | IA
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Zip | 50613-8243
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Country | US
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Telephone | 319-404-2126
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Fax |
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Provider Business Mailing Address
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Address Line | 13621 V AVE
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City | CEDAR FALLS
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State | IA
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Zip | 50613-8243
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Country | US
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Telephone | 319-404-2126
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | AEMT4000184
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 168873
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License Number State | IA
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