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General NPI Number Information
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NPI Number | 1821507476
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Entity Type | Individual
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Provider Name | TIMOTHY DOYLE THOMAS
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Gender | Male
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 05/03/2026
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Provider Practice Location Address
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Address Line | 940-C HWY 96
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City | WARNER ROBINS
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State | GA
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Zip | 31088
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Country | US
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Telephone | 678-988-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 940 GA HIGHWAY 96 STE C
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City | WARNER ROBINS
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State | GA
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Zip | 31088-2585
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Country | US
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Telephone | 678-988-7115
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN244011
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License Number State | GA
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