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General NPI Number Information
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NPI Number | 1881739381
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Entity Type | Individual
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Provider Name | THOMAS J. MONROE PHD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 7010 KIT CREEK RD.
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City | MORRISVILLE
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State | NC
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Zip | 27560
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Country | US
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Telephone | 616-550-6079
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Fax | 919-472-4602
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Provider Business Mailing Address
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Address Line | PO BOX 110315 SEQUENOM CMM
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City | DURHAM
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State | NC
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Zip | 27709
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Country | US
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Telephone | 616-550-6079
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Fax | 919-472-4602
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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 | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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