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General NPI Number Information
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NPI Number | 1740174440
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Entity Type | Individual
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Provider Name | KASEY THOMAS
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 2118 GREENSPRING DR STE 200
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City | LUTHERVILLE
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State | MD
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Zip | 21093-3112
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Country | US
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Telephone | 410-512-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 1071 LONG VALLEY RD
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City | WESTMINSTER
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State | MD
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Zip | 21158-6112
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Country | US
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Telephone | 443-289-0066
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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