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General NPI Number Information
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NPI Number | 1851701635
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Entity Type | Organization
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Legal Business Name | THOMAS CLINIC INC
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 145 PICKWICK ST
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City | SAVANNAH
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State | TN
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Zip | 38372-1953
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Country | US
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Telephone | 731-925-1051
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Fax |
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Provider Business Mailing Address
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Address Line | 145 PICKWICK ST
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City | SAVANNAH
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State | TN
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Zip | 38372-1953
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Country | US
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Telephone | 731-925-9277
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Fax | 731-925-3340
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Authorized Official
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Title or Position | OWNER
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Name | JAMES H. THOMAS
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Credential | MD
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Telephone | 731-925-9277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 8820
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License Number State | TN
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