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General NPI Number Information
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NPI Number | 1558723577
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Entity Type | Individual
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Provider Name | JUSTIN THOMAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 123 BAPTIST WAY
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City | PENSACOLA
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State | FL
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Zip | 32503-2254
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Country | US
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Telephone | 850-434-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 427 WARWICK ST
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City | GULF BREEZE
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State | FL
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Zip | 32561-4152
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Country | US
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Telephone | 772-633-3890
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Fax | 833-549-5578
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 88933
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License Number State | GA
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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 | 38457
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME147527
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License Number State | FL
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