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General NPI Number Information
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NPI Number | 1801462858
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Entity Type | Organization
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Legal Business Name | W THOMAS MEDICAL LLC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 300 EXECUTIVE CENTER DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-4842
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Country | US
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Telephone | 561-471-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 10936 NW 41ST DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-7762
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Country | US
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Telephone | 561-201-3234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WALLACE THOMAS
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Credential | MD
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Telephone | 561-201-3234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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