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General NPI Number Information
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NPI Number | 1710960661
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Entity Type | Individual
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Provider Name | THOMAS ALAN CADE DDS
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 881 USS JAMES MADISON RD
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City | KINGS BAY
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State | GA
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Zip | 31547-2531
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Country | US
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Telephone | 912-735-6532
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Fax |
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Provider Business Mailing Address
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Address Line | 221 CHASE CT N
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City | SAINT MARYS
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State | GA
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Zip | 31558-4076
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Country | US
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Telephone | 912-510-5935
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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 | WV 2409
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN014731
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License Number State | GA
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