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General NPI Number Information
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NPI Number | 1467651935
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Entity Type | Individual
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Provider Name | THOMAS PAPA D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2007
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 18 E LAUREL RD
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City | STRATFORD
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State | NJ
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Zip | 08084-1327
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Country | US
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Telephone | 856-346-7985
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Fax |
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Provider Business Mailing Address
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Address Line | 478 FORREST AVE
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City | DREXEL HILL
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State | PA
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Zip | 19026-1402
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS014969
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MB08983900
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License Number State | NJ
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