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General NPI Number Information
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NPI Number | 1407995327
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Entity Type | Individual
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Provider Name | KATINA L THOMAS CNP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 601 S EDWIN C MOSES BLVD 4TH FLOOR NW BUILDING
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City | DAYTON
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State | OH
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Zip | 45417-3424
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Country | US
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Telephone | 937-734-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S EDWIN MOSES BLVD 4TH FLOOR NW BUILDING
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City | DAYTON
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State | OH
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Zip | 45417-3424
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Country | US
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Telephone | 937-734-8333
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | APRN.CNP.09264
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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 | NP-09264
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.09264
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License Number State | OH
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