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General NPI Number Information
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NPI Number | 1629172192
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Entity Type | Organization
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Legal Business Name | DR. THOMAS B. PADGETT, PC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 1680 HUGUENOT RD
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-2427
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Country | US
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Telephone | 804-379-7120
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Fax | 804-379-9835
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Provider Business Mailing Address
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Address Line | 1680 HUGUENOT RD
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-2427
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Country | US
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Telephone | 804-379-7120
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Fax | 804-379-9835
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TRICIA T BLAKE
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Credential |
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Telephone | 804-379-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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