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General NPI Number Information
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NPI Number | 1699987081
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Entity Type | Individual
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Provider Name | CECELIA THOMAS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2007
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 1 BATES BLVD STE 210
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City | ORINDA
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State | CA
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Zip | 94563-2800
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Country | US
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Telephone | 707-694-5349
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Fax | 925-354-0831
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Provider Business Mailing Address
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Address Line | 96 DAVIS RD SUITE5
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City | ORINDA
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State | CA
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Zip | 94563-3041
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Country | US
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Telephone | 925-254-0824
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 35176
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License Number State | CA
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