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General NPI Number Information
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NPI Number | 1700776929
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Entity Type | Individual
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Provider Name | CHRISTOPHER ADAM THOMAS PMHNP
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Gender | Male
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 325 PIEDMONT DR STE 2005
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City | DANVILLE
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State | VA
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Zip | 24540-4175
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Country | US
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Telephone | 434-710-4210
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Fax |
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Provider Business Mailing Address
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Address Line | 11538 NC HIGHWAY 87 S
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City | EDEN
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State | NC
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Zip | 27288-8164
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Country | US
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Telephone | 336-604-1520
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 24193989
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License Number State | VA
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