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General NPI Number Information
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NPI Number | 1548158785
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Entity Type | Individual
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Provider Name | WILLIAM CHARLES THOMAS RN
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Gender | Male
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1701 N GEORGE MASON DR STE 2D
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City | ARLINGTON
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State | VA
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Zip | 22205-3610
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Country | US
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Telephone | 703-558-2438
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 N CLEVELAND AVE
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City | CHICAGO
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State | IL
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Zip | 60614-3315
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Country | US
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Telephone | 860-895-3252
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 0001283415
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License Number State | VA
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