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General NPI Number Information
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NPI Number | 1194435974
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Entity Type | Individual
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Provider Name | KENDALL KOHL THURSTON RN
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Gender | Female
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1740 SE 18TH ST STE 1102
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City | OCALA
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State | FL
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Zip | 34471-5447
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Country | US
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Telephone | 352-512-0092
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Fax | 352-512-0093
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Provider Business Mailing Address
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Address Line | 2335 SE 14TH ST
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City | OCALA
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State | FL
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Zip | 34471-2644
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Country | US
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Telephone | 772-263-6068
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11042444
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License Number State | FL
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