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General NPI Number Information
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NPI Number | 1720289200
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Entity Type | Individual
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Provider Name | DAVID C THOMA D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 1000 W MORENO ST
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City | PENSACOLA
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State | FL
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Zip | 32501-2316
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Country | US
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Telephone | 850-434-4011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 622047
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City | ORLANDO
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State | FL
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Zip | 32862-2047
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Country | US
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Telephone | 844-215-3266
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DO.2358
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS11077
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 58625
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License Number State | FL
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