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General NPI Number Information
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NPI Number | 1558808782
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Entity Type | Individual
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Provider Name | PAULA THOMAS
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Gender | Female
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 1408 TIFFANY LN
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City | DARLINGTON
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State | SC
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Zip | 29532-7710
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Country | US
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Telephone | 704-277-3839
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Fax |
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Provider Business Mailing Address
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Address Line | 407 CLAIRVIEW LN
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City | MATTHEWS
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State | NC
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Zip | 28105-0208
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Country | US
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Telephone | 704-277-3839
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | IHCP0672
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | IHCP0672
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License Number State | SC
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