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General NPI Number Information
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NPI Number | 1730350489
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Entity Type | Organization
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Legal Business Name | GREGORY L & MARIA E. THOMAS DBA A-1 HEALTHCARE CENTER
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 1205 N MELROSE DR STE #N
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City | VISTA
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State | CA
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Zip | 92083-3473
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Country | US
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Telephone | 760-945-4700
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Fax | 760-945-0382
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Provider Business Mailing Address
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Address Line | 1205 N MELROSE DR STE #N
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City | VISTA
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State | CA
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Zip | 92083-3473
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Country | US
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Telephone | 760-945-4700
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Fax | 760-945-0382
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY LLOYD THOMAS
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Credential |
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Telephone | 760-518-5431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 43100
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 72304
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License Number State | CA
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