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General NPI Number Information
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NPI Number | 1588785125
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Entity Type | Organization
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Legal Business Name | ERNEST M. THOMAS,JR.,MD.INC.
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 360 DARDANELLI LN SUITE 1A
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City | LOS GATOS
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State | CA
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Zip | 95032-1421
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Country | US
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Telephone | 408-378-2552
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Fax | 408-378-8317
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Provider Business Mailing Address
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Address Line | 360 DARDANELLI LN SUITE 1A
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City | LOS GATOS
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State | CA
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Zip | 95032-1421
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Country | US
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Telephone | 408-378-2552
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Fax | 408-378-8317
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERNEST M THOMAS
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Credential | MD.
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Telephone | 408-378-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | C23340
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License Number State | CA
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