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General NPI Number Information
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NPI Number | 1881284735
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Entity Type | Individual
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Provider Name | DARBY ROSS THORNTON PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 1900 PINE ST
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City | ABILENE
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State | TX
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Zip | 79601-2432
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Country | US
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Telephone | 325-670-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1134 SANTOS ST
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City | ABILENE
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State | TX
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Zip | 79605-4217
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Country | US
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Telephone | 806-831-7730
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA14211
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License Number State | TX
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