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General NPI Number Information
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NPI Number | 1952829079
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Entity Type | Organization
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Legal Business Name | THOMASSON LAND HOLDINGS, LLC
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1007 SAINT FRANCIS DR
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2029
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Country | US
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Telephone | 601-416-3828
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Fax | 601-656-3896
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Provider Business Mailing Address
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Address Line | PO BOX 1642
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City | PHILADELPHIA
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State | MS
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Zip | 39350-1642
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Country | US
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Telephone | 601-416-3828
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Fax | 601-656-3896
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA ANN THOMASSON
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Credential |
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Telephone | 601-416-0105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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