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General NPI Number Information
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NPI Number | 1891165593
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Entity Type | Individual
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Provider Name | DENNY THOMAS
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Gender | Male
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 1725 S INTERSTATE 35 E STE 101
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City | DENTON
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State | TX
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Zip | 76205-6603
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Country | US
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Telephone | 940-808-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 5310 LACEY CIR
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City | SACHSE
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State | TX
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Zip | 75048-3935
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Country | US
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Telephone | 214-923-1954
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0102R
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License Number State | OK
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