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General NPI Number Information
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NPI Number | 1932805413
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Entity Type | Individual
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Provider Name | JOANNE D. THOMAS
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Gender | Female
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 190 THOMAS RD
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City | CRAWFORDSVILLE
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State | AR
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Zip | 72327-2288
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Country | US
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Telephone | 309-648-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 190 THOMAS RD
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City | CRAWFORDSVILLE
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State | AR
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Zip | 72327-2288
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Country | US
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Telephone | 309-648-3503
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.009997
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P2409001
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License Number State | AR
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