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General NPI Number Information
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NPI Number | 1497703060
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Entity Type | Individual
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Provider Name | MALAIKA S. THOMAS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 670 W ARAPAHO RD STE 3
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City | RICHARDSON
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State | TX
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Zip | 75080-4213
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Country | US
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Telephone | 469-914-0003
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Fax |
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Provider Business Mailing Address
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Address Line | 1752 BLACKSMITH DR
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City | DALLAS
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State | TX
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Zip | 75253-3800
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Country | US
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Telephone | 214-885-8219
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 32455
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License Number State | TX
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