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General NPI Number Information
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NPI Number | 1669354015
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Entity Type | Individual
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Provider Name | DANIELLE SUE THOMAS APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 3533 SOUTHERN BLVD STE 5650
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City | KETTERING
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State | OH
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Zip | 45429-1263
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Country | US
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Telephone | 937-294-3611
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Fax |
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Provider Business Mailing Address
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Address Line | 4323 GLEN ESTE WITHAMSVILLE RD UNIT 105
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City | CINCINNATI
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State | OH
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Zip | 45245-2071
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Country | US
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Telephone | 513-570-0723
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0039947
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License Number State | OH
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