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General NPI Number Information
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NPI Number | 1053269456
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Entity Type | Individual
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Provider Name | JESSICA THOMAS
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Gender | Female
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 323 S 1ST ST
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City | BELLWOOD
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State | PA
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Zip | 16617-2101
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Country | US
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Telephone | 814-310-1014
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Fax |
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Provider Business Mailing Address
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Address Line | 145 MEMORY LN
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City | ROARING SPRING
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State | PA
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Zip | 16673-9423
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN689342
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License Number State | PA
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