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General NPI Number Information
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NPI Number | 1942197058
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Entity Type | Organization
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Legal Business Name | THOMAS BEHAVIORAL HEALTH, P.C.
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 35 E 10TH ST STE D2
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City | TRACY
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State | CA
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Zip | 95376-4066
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Country | US
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Telephone | 702-626-0941
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Fax |
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Provider Business Mailing Address
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Address Line | 3172 N RAINBOW BLVD # 1466
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City | LAS VEGAS
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State | NV
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Zip | 89108-4534
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TISHIRA HILLS
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Credential |
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Telephone | 909-681-7181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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