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General NPI Number Information
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NPI Number | 1992884571
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Entity Type | Organization
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Legal Business Name | SILAS J. THOMAS, M.D., INC.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 3628 E IMPERIAL HWY SUITE 200
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City | LYNWOOD
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State | CA
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Zip | 90262-2643
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Country | US
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Telephone | 310-776-0806
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Fax | 562-590-8460
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Provider Business Mailing Address
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Address Line | PO BOX 1450
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City | LONG BEACH
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State | CA
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Zip | 90801-1450
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Country | US
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Telephone | 310-776-0806
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Fax | 562-590-8460
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Authorized Official
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Title or Position | PRESIDENT
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Name | SILAS J THOMAS
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Credential | M.D.
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Telephone | 310-776-0806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G35214
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License Number State | CA
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