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General NPI Number Information
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NPI Number | 1235488396
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Entity Type | Individual
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Provider Name | KIMONETIA L THOMAS ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 5671 PEACHTREE DUNWOODY RD STE 300
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City | ATLANTA
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State | GA
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Zip | 30342-5003
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Country | US
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Telephone | 404-778-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 60 W GORE ST
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City | ORLANDO
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State | FL
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Zip | 32806-1141
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Country | US
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Telephone | 407-370-5800
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Fax | 407-370-5820
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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 | APRN-NP246357
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9199661
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License Number State | FL
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