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General NPI Number Information
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NPI Number | 1477597110
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Entity Type | Individual
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Provider Name | NADINE V.L. THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 1905 E. HUEBBE PARKWAY BELOIT HEALTH SYSTEM INC.
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City | BELOIT
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State | WI
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Zip | 53511-1842
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Country | US
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Telephone | 608-364-2400
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Fax | 608-363-7392
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Provider Business Mailing Address
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Address Line | 1905 E. HUEBBE PARKWAY BELOIT HEALTH SYSTEM INC.
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City | BELOIT
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State | WI
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Zip | 53511-1842
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Country | US
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Telephone | 608-364-2400
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Fax | 608-363-7392
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 49340-020
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036-124110
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License Number State | IL
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