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General NPI Number Information
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NPI Number | 1467912055
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Entity Type | Individual
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Provider Name | ABIGAIL BRACKEN THOMAS
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Gender | Female
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 3590 LUCILLE DR
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City | CINCINNATI
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State | OH
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Zip | 45213-2674
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Country | US
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Telephone | 513-475-8400
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Fax | 513-475-8228
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Provider Business Mailing Address
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Address Line | 3590 LUCILLE DR
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City | CINCINNATI
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State | OH
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Zip | 45213-2674
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Country | US
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Telephone | 513-475-8400
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Fax | 513-475-8228
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 35.154628
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35.154628
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License Number State | OH
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