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General NPI Number Information
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NPI Number | 1811224504
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Entity Type | Organization
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Legal Business Name | STEPHEN J. THOMAS MD, PC
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 17600 SW ALEXANDER ST
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City | ALOHA
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State | OR
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Zip | 97006-4411
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Country | US
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Telephone | 503-642-2525
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Fax | 503-649-9860
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Provider Business Mailing Address
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Address Line | 17600 SW ALEXANDER ST
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City | ALOHA
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State | OR
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Zip | 97006-4411
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Country | US
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Telephone | 503-642-2525
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Fax | 503-649-9860
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | MRS. RENEE' A SANSOM
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Credential |
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Telephone | 503-642-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD08290
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License Number State | OR
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