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General NPI Number Information
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NPI Number | 1487533840
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Entity Type | Individual
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Provider Name | COLIN REID THOMAS APC
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Gender | Male
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 800 OLD ROSWELL LAKES PKWY STE 220
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City | ROSWELL
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State | GA
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Zip | 30076-1667
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Country | US
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Telephone | 470-400-0830
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Fax |
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Provider Business Mailing Address
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Address Line | 215 CRANBERRY WAY
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City | ROSWELL
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State | GA
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Zip | 30076-2386
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Country | US
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Telephone | 404-989-0352
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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