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General NPI Number Information
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NPI Number | 1770755688
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Entity Type | Individual
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Provider Name | CAROL ANN THOMAS APRN
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Gender | Female
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 601 BROOKER CREEK BLVD
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City | OLDSMAR
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State | FL
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Zip | 34677
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Country | US
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Telephone | 407-837-3079
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Fax |
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Provider Business Mailing Address
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Address Line | 1170 KENWOOD AVE
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City | WINTER PARK
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State | FL
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Zip | 32789
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Country | US
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Telephone | 706-676-6392
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN087151
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License Number State | GA
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