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General NPI Number Information
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NPI Number | 1952589319
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Entity Type | Organization
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Legal Business Name | MARC A. THOMAS, DDS, LTD
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 4850 VISTA BLVD STE 100
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City | SPARKS
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State | NV
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Zip | 89436-2858
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Country | US
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Telephone | 775-626-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 VISTA BLVD STE 100
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City | SPARKS
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State | NV
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Zip | 89436-2858
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Country | US
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Telephone | 775-626-3535
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. MARC A THOMAS
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Credential | DDS
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Telephone | 775-626-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 4809T
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License Number State | NV
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