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General NPI Number Information
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NPI Number | 1932827201
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Entity Type | Individual
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Provider Name | DAVIN S THOMAS
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 934 N GASKILL ST
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City | HUNTSVILLE
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State | AR
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Zip | 72740-1319
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Country | US
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Telephone | 479-738-5500
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Fax | 479-738-1350
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | MARSHALL
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State | AR
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Zip | 72650-1060
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Country | US
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Telephone | 501-545-8731
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 221382
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License Number State | AR
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