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General NPI Number Information
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NPI Number | 1568865715
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Entity Type | Organization
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Legal Business Name | THOMAS & REID INNOVATIONS
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 402 W BROADWAY SUITE 400
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City | SAN DIEGO
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State | CA
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Zip | 92101-3542
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Country | US
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Telephone | 866-225-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 402 W BROADWAY SUITE 400
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City | SAN DIEGO
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State | CA
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Zip | 92101-3542
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Country | US
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Telephone | 866-225-1078
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATHY THOMAS
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Credential | RN,BSN,MHA,NE-BC
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Telephone | 619-709-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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