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General NPI Number Information
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NPI Number | 1669195228
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Entity Type | Individual
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Provider Name | ROSHNI SUSAN THOMAS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 4610 FRANKFORD RD
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City | DALLAS
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State | TX
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Zip | 75287-7107
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Country | US
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Telephone | 972-732-6197
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Fax |
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Provider Business Mailing Address
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Address Line | 5305 SAINT CROIX CT
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City | RICHARDSON
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State | TX
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Zip | 75082-4134
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Country | US
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Telephone | 214-608-8953
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43755
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License Number State | TX
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