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General NPI Number Information
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NPI Number | 1811705916
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Entity Type | Organization
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Legal Business Name | THOMAS A JOHN MD LLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 6340 FORT KING RD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2531
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Country | US
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Telephone | 813-782-6116
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Fax | 813-780-1051
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Provider Business Mailing Address
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Address Line | 6340 FORT KING RD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2531
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Country | US
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Telephone | 813-782-6116
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Fax | 813-780-1051
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS ALEX JOHN
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Credential | MD
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Telephone | 813-782-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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