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General NPI Number Information
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NPI Number | 1588993828
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH CENTI JR. MD
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Gender | Male
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 68 SCHOOL RD STE 200
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-668-2510
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Fax | 970-668-2511
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Provider Business Mailing Address
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Address Line | 68 SCHOOL RD STE 200
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-668-2510
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Fax | 970-668-2511
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | D0051488
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | DR.0057677
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License Number State | CO
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