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General NPI Number Information
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NPI Number | 1255696233
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Entity Type | Individual
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Provider Name | KATHRYN HOLBY THORSON NP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | BUCK 3RD FLOOR BOWDOIN COLLEGE
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City | BRUNSWICK
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State | ME
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Zip | 04011-1747
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Country | US
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Telephone | 207-725-3770
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Fax | 207-725-3905
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Provider Business Mailing Address
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Address Line | 3600 COLLEGE STATION
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City | BRUNSWICK
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State | ME
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Zip | 04011-8427
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Country | US
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Telephone | 207-725-3770
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Fax | 207-725-3905
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP121050
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License Number State | ME
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