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NPI 1972636124

NPI 1972636124 : PAULE E THOMAS OTD, OTR : EUREKA, CA

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General NPI Number Information
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    NPI Number           |    1972636124
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    Entity Type          |    Individual 
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    Provider Name        |    PAULE E THOMAS OTD, OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/14/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2020 HARRISON AVE 
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    City                 |    EUREKA
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    State                |    CA
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    Zip                  |    95501
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    Country              |    US
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    Telephone            |    707-445-5111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1701 HAMMOND DR 
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    City                 |    EMPORIA
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    State                |    KS
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    Zip                  |    66801-5312
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    Country              |    US
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    Telephone            |    620-342-2969
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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        |    283X00000X
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    Taxonomy Name        |    Rehabilitation Hospital
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    License Number       |    9204
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    License Number State |    CA
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