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General NPI Number Information
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NPI Number | 1548899172
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Entity Type | Individual
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Provider Name | THOMAS FLYNN
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Gender | Male
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1107 MEMORIAL DR STE 100
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City | DALTON
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State | GA
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Zip | 30720-8662
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Country | US
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Telephone | 706-529-3072
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Fax | 706-529-3077
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Provider Business Mailing Address
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Address Line | 1107 MEMORIAL DR STE 100
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City | DALTON
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State | GA
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Zip | 30720-8662
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Country | US
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Telephone | 706-529-3072
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Fax | 706-529-3077
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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 | 100706
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 100706
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License Number State | GA
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