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Individual
MR. DOMENIC JOSEPH THOMAS
Active
Individual
MR. DOMENIC JOSEPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01116
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BN99DJ
CAREFIRST BC/BS OF MD
MD
01
—
G733-0001
BLUECHOICE PROVIDER #
DC
Enumeration date
09/21/2006
Last updated
07/08/2007
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