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General NPI Number Information
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NPI Number | 1770496960
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Entity Type | Individual
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Provider Name | KELSEY MARIE THRALL
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 9470 COUNTY ROAD 1
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City | HANKINSON
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State | ND
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Zip | 58041-9744
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Country | US
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Telephone | 701-591-6848
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 11TH ST N APT 15
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City | WAHPETON
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State | ND
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Zip | 58075-5062
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Country | US
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Telephone | 701-591-6848
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NULL
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