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General NPI Number Information
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NPI Number | 1003533126
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Entity Type | Individual
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Provider Name | KRISTIE LOUISE THOMAS RN
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Gender | Female
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 4121 S STATE ROUTE 721
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City | LAURA
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State | OH
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Zip | 45337-8779
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Country | US
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Telephone | 937-654-9379
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Fax |
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Provider Business Mailing Address
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Address Line | 4121 S STATE ROUTE 721
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City | LAURA
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State | OH
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Zip | 45337-8779
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Country | US
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Telephone | 937-654-9379
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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 | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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