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General NPI Number Information
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NPI Number | 1528874286
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Entity Type | Individual
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Provider Name | DION J THOMAS
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Gender | Male
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Dates
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Enumeration Date | 12/07/2024
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 15404 WARWICK ST
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City | DETROIT
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State | MI
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Zip | 48223-1723
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Country | US
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Telephone | 313-587-6867
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 WASHINGTON BLVD STE 301
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City | DETROIT
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State | MI
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Zip | 48226-1750
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Country | US
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Telephone | 313-887-4759
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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