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General NPI Number Information
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NPI Number | 1912945080
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Entity Type | Individual
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Provider Name | NANCY MARIE THURMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1320 MAPLEWOOD AVE
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City | RONCEVERTE
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State | WV
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Zip | 24970-8016
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Country | US
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Telephone | 304-388-5432
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 150
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City | HOLLY
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State | CO
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Zip | 81047-0150
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Country | US
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Telephone | 719-537-0712
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Fax | 719-537-6284
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 42368
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 133939
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 33625
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101268568
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License Number State | VA
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