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General NPI Number Information
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NPI Number | 1710093976
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Entity Type | Individual
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Provider Name | JOHN ABRAHAM THOMAS MD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 215 OLD HIGHWAY 1187
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City | BURLESON
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State | TX
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Zip | 76028-0281
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Country | US
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Telephone | 817-926-2663
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Fax | 817-293-8860
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Provider Business Mailing Address
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Address Line | 215 OLD HIGHWAY 1187
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City | BURLESON
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State | TX
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Zip | 76028-0281
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Country | US
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Telephone | 817-926-2663
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Fax | 817-293-8860
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | L8215
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License Number State | TX
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