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General NPI Number Information
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NPI Number | 1457209439
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Entity Type | Organization
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Legal Business Name | THOMAS HERITAGE & WELLNESS GROUP
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 1010 S 336TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6385
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Country | US
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Telephone | 206-852-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 555 ANDOVER PARK W STE 200
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City | TUKWILA
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State | WA
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Zip | 98188-3379
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Country | US
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Telephone | 206-852-1234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOYCELYN RENE THOMAS
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Credential | DNP, MN, APRN, FNP
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Telephone | 206-852-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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