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General NPI Number Information
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NPI Number | 1881898336
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Entity Type | Organization
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Legal Business Name | PAUL G THOMAS DO PC
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8012 N MIDDLEBELT RD SUITE B
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City | WESTLAND
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State | MI
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Zip | 48185-1808
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Country | US
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Telephone | 734-421-4026
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Fax | 734-421-4560
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Provider Business Mailing Address
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Address Line | 8012 N MIDDLEBELT RD SUITE B
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City | WESTLAND
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State | MI
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Zip | 48185-1808
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Country | US
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Telephone | 734-421-4026
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Fax | 734-421-4560
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Authorized Official
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Title or Position | PRESIDENT PHYSICIAN
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Name | DR. PAUL G THOMAS
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Credential | DO
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Telephone | 734-421-4026
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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 | 5101003947
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License Number State | MI
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