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General NPI Number Information
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NPI Number | 1831467208
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Entity Type | Individual
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Provider Name | CHRISTOPHER D THOMAS MPT
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Gender | Male
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 4100 LINDELL BLVD SUITE 140
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2914
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Country | US
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Telephone | 314-361-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 2444 REMINGTON LN
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City | SAINT LOUIS
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State | MO
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Zip | 63144-2134
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Country | US
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Telephone | 314-610-1797
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2008009255
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License Number State | MO
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