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General NPI Number Information
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NPI Number | 1437258506
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Entity Type | Individual
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Provider Name | JOSEPH STUART THOMAS MD
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 410 CONNELL RD SUITE T
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City | VALDOSTA
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State | GA
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Zip | 31602-1407
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Country | US
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Telephone | 229-242-9565
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Fax | 229-242-1725
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Provider Business Mailing Address
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Address Line | 410 CONNELL RD SUITE T
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City | VALDOSTA
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State | GA
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Zip | 31602-1407
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Country | US
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Telephone | 229-242-9565
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Fax | 229-242-1725
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 040573
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License Number State | GA
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