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General NPI Number Information
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NPI Number | 1972561991
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Entity Type | Individual
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Provider Name | DEAN ROBERT THOMSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 1700 14TH AVE
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City | NEBRASKA CITY
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State | NE
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Zip | 68410-1146
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Country | US
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Telephone | 402-873-4242
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Fax | 402-873-4366
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Provider Business Mailing Address
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Address Line | 708 CENTENNIAL AVE
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City | NEBRASKA CITY
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State | NE
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Zip | 68410-1056
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Country | US
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Telephone | 402-873-7889
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Fax | 402-873-4366
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12726
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License Number State | NE
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