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General NPI Number Information
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NPI Number | 1447172812
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Entity Type | Individual
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Provider Name | RANDY THOMAS PPS
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Gender | Male
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 2820 CLARK AVE
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City | NORCO
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State | CA
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Zip | 92860-1903
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Country | US
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Telephone | 951-736-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 2820 CLARK AVE
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City | NORCO
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State | CA
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Zip | 92860-1903
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Country | US
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Telephone | 951-736-5111
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 250122614
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License Number State | CA
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