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General NPI Number Information
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NPI Number | 1982962445
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Entity Type | Organization
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Legal Business Name | THOMAS A. NEUMANN, MD, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 114 N CEDAR ST
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City | TALLULAH
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State | LA
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Zip | 71282-3811
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Country | US
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Telephone | 318-574-9090
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Fax | 318-574-9091
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Provider Business Mailing Address
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Address Line | 114 N CEDAR ST
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City | TALLULAH
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State | LA
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Zip | 71282-3811
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Country | US
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Telephone | 318-574-9090
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | KELLI D BEAVERS
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Credential |
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Telephone | 318-325-6200
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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 | MD.010913
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License Number State | LA
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