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General NPI Number Information
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NPI Number | 1851266829
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Entity Type | Individual
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Provider Name | JORGE THOMAS
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Gender | Male
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 7075 N EXPRESSWAY 77 SUITE. 2
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City | OLMITO
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State | TX
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Zip | 78575
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Country | US
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Telephone | 956-280-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 845 HACKBERRY CT
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8319
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Country | US
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Telephone | 956-455-2731
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State | TX
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