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General NPI Number Information
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NPI Number | 1134307838
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Entity Type | Individual
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Provider Name | KASHENA BRIGITTE THOMAS CNP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 2560 W. 6 STREET
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City | CLEVELAND
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State | OH
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Zip | 44113
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Country | US
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Telephone | 216-254-4196
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Fax |
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Provider Business Mailing Address
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Address Line | 458 E 272ND ST
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City | EUCLID
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State | OH
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Zip | 44132-1730
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Country | US
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Telephone | 216-965-5403
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 125960
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0027382
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License Number State | OH
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