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General NPI Number Information
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NPI Number | 1477382471
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Entity Type | Individual
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Provider Name | KYRIAN THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 303 HOLLOW TREE LN
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City | HOUSTON
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State | TX
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Zip | 77090-2803
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Country | US
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Telephone | 832-705-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 25120 PANTHER BEND CT APT 439
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City | SPRING
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State | TX
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Zip | 77380-4240
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Country | US
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Telephone | 337-540-1741
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2176666
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License Number State | TX
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