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General NPI Number Information
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NPI Number | 1437105418
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Entity Type | Organization
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Legal Business Name | SAMUEL S THATCHER MD, PHD
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 520 BILTMORE AVE SUITE A
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City | ASHEVILLE
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State | NC
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Zip | 28801-4602
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Country | US
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Telephone | 828-285-8881
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Fax | 828-258-8887
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Provider Business Mailing Address
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Address Line | 520 BILTMORE AVE SUITE A
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City | ASHEVILLE
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State | NC
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Zip | 28801-4602
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Country | US
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Telephone | 828-285-8881
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Fax | 828-258-8887
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. SAMUEL S THATCHER
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Credential | M.D.
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Telephone | 828-285-8881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 200001257205
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License Number State | NC
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