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General NPI Number Information
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NPI Number | 1073098463
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Entity Type | Individual
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Provider Name | KAELA ANN THOMAS DPT
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Gender | Female
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 61 LOCUST STREET #333
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City | DOVER
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State | NH
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Zip | 03820
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Country | US
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Telephone | 603-740-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 3 EMERALD LANE
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City | DOVER
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State | NH
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Zip | 03820
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Country | US
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Telephone | 978-479-4324
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5276
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 23792
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License Number State | MA
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