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General NPI Number Information
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NPI Number | 1932046885
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Entity Type | Individual
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Provider Name | COURTNEY JO LYNN THOMAS
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Gender | Female
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 1011 N HIGHWAY 27 STE 8
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City | WHITLEY CITY
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State | KY
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Zip | 42653-5025
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Country | US
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Telephone | 606-310-3860
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Fax |
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Provider Business Mailing Address
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Address Line | 559 BROWNIE DUNCAN RD
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City | WHITLEY CITY
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State | KY
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Zip | 42653-4229
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Country | US
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Telephone | 606-310-3860
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 463928
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License Number State | KY
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