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General NPI Number Information
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NPI Number | 1467433458
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Entity Type | Individual
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Provider Name | JAMES MATHEW THOMS SLP
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 818 NEWTOWN RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1116
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Country | US
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Telephone | 757-473-8016
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Fax | 757-473-3580
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Provider Business Mailing Address
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Address Line | 928 DIAMOND SPRINGS RD STE 103
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6601
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Country | US
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Telephone | 757-395-1975
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Fax | 757-425-7180
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202004076
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License Number State | VA
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