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General NPI Number Information
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NPI Number | 1659627248
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Entity Type | Individual
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Provider Name | TINA THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 7200 CAMBRIDGE ST FL 8
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City | HOUSTON
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State | TX
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Zip | 77030-4202
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Country | US
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Telephone | 713-798-1750
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Fax |
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Provider Business Mailing Address
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Address Line | 5667 PEACHTREE DUNWOODY RD STE 260
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City | ATLANTA
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State | GA
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Zip | 30342-1714
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Country | US
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Telephone | 404-255-1030
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Fax | 678-843-6619
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V7666
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 76826
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | V7666
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License Number State | TX
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