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General NPI Number Information
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NPI Number | 1467713362
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Entity Type | Individual
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Provider Name | KRISTIN JANE THOMAS DPM
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 4010 N HAMPTON DR
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City | POWELL
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State | OH
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Zip | 43065-8431
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Country | US
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Telephone | 614-407-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 N HAMPTON DR
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City | POWELL
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State | OH
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Zip | 43065-8431
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Country | US
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Telephone | 614-407-3171
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | FB3494971
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License Number State | PA
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