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General NPI Number Information
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NPI Number | 1851364426
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Entity Type | Individual
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Provider Name | WILLIAM COOPER THORNTON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 350 N COX ST SUITE 20
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City | ASHEBORO
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State | NC
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Zip | 27203-5566
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Country | US
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Telephone | 336-672-3200
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Fax | 336-629-7349
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Provider Business Mailing Address
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Address Line | 1412 WALES DR
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City | HIGH POINT
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State | NC
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Zip | 27262-7341
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Country | US
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Telephone | 336-883-2875
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 20757
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License Number State | NC
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