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General NPI Number Information
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NPI Number | 1629371604
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Entity Type | Individual
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Provider Name | VALERIE THOMAS P.A.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 2855 CRAIN HWY
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City | WALDORF
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State | MD
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Zip | 20601-2840
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Country | US
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Telephone | 240-427-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CAREY ROAD
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City | QUEENSBURY
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State | NY
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Zip | 12804-7880
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Country | US
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Telephone | 518-761-0300
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Fax | 518-480-0108
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0005778
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License Number State | MD
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