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General NPI Number Information
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NPI Number | 1942359369
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Entity Type | Organization
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Legal Business Name | TENNESSEE VALLEY LUNG CARE, PC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 27669 CAPSHAW RD. A2
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City | HARVEST
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State | AL
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Zip | 35749-7403
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Country | US
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Telephone | 256-232-0667
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Fax | 256-232-0557
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Provider Business Mailing Address
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Address Line | 27669 CAPSHAW RD SUITE A2
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City | HARVEST
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State | AL
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Zip | 35749-7403
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Country | US
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Telephone | 256-232-0667
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Fax | 256-232-0557
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM P THOMAS
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Credential | MD
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Telephone | 256-232-0667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 16579
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 16579
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License Number State | AL
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