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General NPI Number Information
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NPI Number | 1518901602
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Entity Type | Individual
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Provider Name | TRACEY S THOMAS DO
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 4221 ASHEVILLE HWY
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City | KNOXVILLE
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State | TN
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Zip | 37914-3508
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Country | US
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Telephone | 865-392-7264
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746725
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City | ATLANTA
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State | GA
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Zip | 30374-6725
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.009991
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License Number State | OH
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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 | 5634
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02969
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2438
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2012-02056
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License Number State | NC
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