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General NPI Number Information
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NPI Number | 1902801509
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Entity Type | Individual
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Provider Name | MICHAEL THIIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 1 PARKWAY
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City | HAVERHILL
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State | MA
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Zip | 01830-6278
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Country | US
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Telephone | 978-521-3270
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Fax | 978-374-6495
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Provider Business Mailing Address
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Address Line | 1 PARKWAY
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City | HAVERHILL
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State | MA
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Zip | 01830-6278
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Country | US
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Telephone | 978-521-3270
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Fax | 978-374-6495
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 79926
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License Number State | MA
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