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General NPI Number Information
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NPI Number | 1659379527
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Entity Type | Individual
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Provider Name | JAMES ROBERT THOMAS PH.D., M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 3939 STOCKTON HILL RD SUITE C
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City | KINGMAN
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State | AZ
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Zip | 86409-3247
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Country | US
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Telephone | 928-681-4273
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Fax | 928-681-4276
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Provider Business Mailing Address
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Address Line | PO BOX 6011
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City | KINGMAN
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State | AZ
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Zip | 86402-6011
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Country | US
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Telephone | 928-681-4273
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Fax | 928-681-4276
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 22397
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | BOARD ELIGIBLE
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 22397
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License Number State | SD
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