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General NPI Number Information
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NPI Number | 1467601641
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Entity Type | Organization
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Legal Business Name | THOMAS FAMILY DENTISTRY, PC
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 491 E KING ST
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City | STRASBURG
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State | VA
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Zip | 22657-2430
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Country | US
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Telephone | 540-465-3980
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Fax | 540-465-1810
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Provider Business Mailing Address
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Address Line | 491 E KING ST
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City | STRASBURG
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State | VA
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Zip | 22657-2430
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Country | US
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Telephone | 540-465-3980
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Fax | 540-465-1810
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN J. THOMAS
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Credential | DDS
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Telephone | 540-465-3980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 6371
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License Number State | VA
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