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General NPI Number Information
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NPI Number | 1053841361
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Entity Type | Individual
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Provider Name | KATIE THOMAS ARNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1811 BLANDING BLVD
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City | MIDDLEBURG
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State | FL
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Zip | 32068-3858
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Country | US
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Telephone | 904-406-0514
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Fax |
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Provider Business Mailing Address
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Address Line | 9547 BEE BALM BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32219-2010
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Country | US
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Telephone | 904-214-2863
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9282558
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License Number State | FL
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