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General NPI Number Information
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NPI Number | 1598717407
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Entity Type | Individual
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Provider Name | BENJAMIN FRANKLIN THOMAS III M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 2311 LAKE PARK DRIVE
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City | ALBANY
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State | GA
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Zip | 31707
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Country | US
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Telephone | 334-749-8303
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Fax | 334-745-5243
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Provider Business Mailing Address
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Address Line | PO BOX 71367
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City | ALBANY
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State | GA
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Zip | 31708-1367
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Country | US
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Telephone | 229-435-0525
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Fax | 229-434-9827
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 00008758
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License Number State | AL
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