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General NPI Number Information
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NPI Number | 1730540998
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Entity Type | Organization
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Legal Business Name | KEVIN THOMAS DPM PC
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 12417 OCEAN HIGHWAY SUITE A-6
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City | OCEAN CITY
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State | MD
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Zip | 21842-9521
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Country | US
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Telephone | 410-749-0121
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Fax | 410-749-0121
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Provider Business Mailing Address
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Address Line | 560 RIVERSIDE DR. A-101
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 410-749-0121
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Fax | 410-749-6807
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Authorized Official
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Title or Position | CEO/ MED. DIRECTOR
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Name | DR. KEVIN THOMAS
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Credential | DPM
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Telephone | 410-749-0121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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