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General NPI Number Information
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NPI Number | 1073187902
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Entity Type | Individual
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Provider Name | KARA THOMAS PSY.D
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Gender | Female
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Dates
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Enumeration Date | 05/15/2021
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Last Update Date | 07/01/2023
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Provider Practice Location Address
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Address Line | 293 S IRVING RD
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City | HASTINGS
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State | MI
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Zip | 49058-9689
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Country | US
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Telephone | 616-287-4279
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 463
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City | MIDDLEVILLE
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State | MI
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Zip | 49333-0463
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Country | US
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Telephone | 616-287-4279
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS019646
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301019160
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License Number State | MI
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