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General NPI Number Information
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NPI Number | 1558710897
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Entity Type | Individual
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Provider Name | DR. THOMAS MCCLAIN
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Gender | Male
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 29000 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-5219
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Country | US
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Telephone | 440-709-9150
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Fax | 440-579-0191
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Provider Business Mailing Address
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Address Line | 4665 DOUGLAS CIR NW STE 100
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City | CANTON
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State | OH
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Zip | 44718-3673
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Country | US
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Telephone | 330-499-5700
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Fax | 330-498-4229
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34.014561
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License Number State | OH
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