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General NPI Number Information
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NPI Number | 1316959539
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Entity Type | Organization
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Legal Business Name | KENDRA L. THORN, M.D., P.A.
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 06/20/2009
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Provider Practice Location Address
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Address Line | 598 N UNION AVE SUITE 320
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4136
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Country | US
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Telephone | 830-632-6857
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Fax | 830-632-9122
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Provider Business Mailing Address
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Address Line | 598 N UNION AVE SUITE 320
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4136
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Country | US
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Telephone | 830-632-6857
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Fax | 830-632-9122
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KENDRA LYNN THORN
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Credential | M.D.
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Telephone | 830-632-6857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L7221
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License Number State | TX
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