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General NPI Number Information
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NPI Number | 1942307392
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Entity Type | Individual
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Provider Name | DAVID H THOMAS D.M.D
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1650 E CHESTNUT AVE STE 6A
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City | VINELAND
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State | NJ
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Zip | 08361-8479
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Country | US
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Telephone | 856-563-0001
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Fax | 856-563-0070
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Provider Business Mailing Address
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Address Line | 960 LONGWOOD DR.
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City | VINELAND
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State | NJ
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Zip | 08361
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Country | US
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Telephone | 856-563-0138
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI017544
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License Number State | NJ
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