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General NPI Number Information
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NPI Number | 1710963434
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Entity Type | Individual
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Provider Name | RALPH W THIEME D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 66 LEIGHTON RD
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City | FALMOUTH
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State | ME
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Zip | 04105-2225
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Country | US
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Telephone | 207-781-6560
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Fax | 207-781-6561
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Provider Business Mailing Address
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Address Line | PO BOX 6071
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City | FALMOUTH
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State | ME
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Zip | 04105-6071
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Country | US
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Telephone | 207-781-6560
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Fax | 207-839-2197
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 1596
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License Number State | ME
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