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General NPI Number Information
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NPI Number | 1629884390
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Entity Type | Organization
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Legal Business Name | THOMAS MEDICAL: CONCIERGE MEDICINE & AESTHETICS PLLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 515 MIDLAND RD STE A
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-3300
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Country | US
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Telephone | 910-639-5591
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Fax | 910-684-8877
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Provider Business Mailing Address
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Address Line | 515 MIDLAND RD STE A
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-3300
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Country | US
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Telephone | 910-639-5591
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Fax | 910-684-8877
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Authorized Official
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Title or Position | OWNER
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Name | JULIE MEREDITH THOMAS
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Credential | PA
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Telephone | 910-690-1747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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