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General NPI Number Information
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NPI Number | 1760561054
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Entity Type | Organization
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Legal Business Name | DR WILLIAM B THOMAS OPTOMETRIST INC.
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 346 THIRD AVENUE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-0152
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Country | US
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Telephone | 740-446-0152
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Fax | 740-446-0450
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Provider Business Mailing Address
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Address Line | PO BOX 152
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City | GALLIPOLIS
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State | OH
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Zip | 45631-0152
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Country | US
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Telephone | 740-446-0152
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Fax | 740-446-0450
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Authorized Official
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Title or Position | OPTOMETRIST PRESIDENT
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Name | DR. WILLIAM B THOMAS
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Credential | OD
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Telephone | 740-446-0152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 577
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2842T1607
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License Number State | OH
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