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NPI Code Detail

MEDICARE: SARAH THOMAS

MEDICARE: SARAH THOMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253J00000XFoster Care Agency

General Provider Information

NPI Number : 1083054290
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH THOMAS
Provider Business Mailing Address
First Line : 5600 E RUSSELL RD
Second Line : #2921
City : LAS VEGAS
State : NV
Zip : 89122-8003
Country : US
Telephone Number : 831-402-5888
Fax Number :
Provider Business Practice Location Address
First Line : 3155 E PATRICK LN
Second Line : SUITE 1
City : LAS VEGAS
State : NV
Zip : 89120-3496
Country : US
Telephone Number : 702-992-0576
Fax Number : 702-992-0391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2013
Last Update Date : 07/02/2013

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Directions to “ SARAH THOMAS ” Practice Location

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