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General NPI Number Information
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NPI Number | 1508432741
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Entity Type | Individual
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Provider Name | DEBORAH GLORIA-SAJAN THOMAS DO
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Gender | Female
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 2222 BENWOOD ST
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City | HARLINGEN
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State | TX
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Zip | 78550-8532
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Country | US
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Telephone | 956-389-2448
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Fax |
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Provider Business Mailing Address
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Address Line | 2915 POPLAR ISLE
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City | MISSOURI CITY
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State | TX
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Zip | 77459-6152
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V0561
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License Number State | TX
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