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General NPI Number Information
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NPI Number | 1952041683
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Entity Type | Individual
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Provider Name | KAYLA LYNN THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2544 COURT DR STE C
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City | GASTONIA
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State | NC
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Zip | 28054-3450
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Country | US
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Telephone | 704-867-5356
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Fax |
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Provider Business Mailing Address
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Address Line | 345 SHARON TOWNSHIP LN APT 423
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City | CHARLOTTE
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State | NC
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Zip | 28211-5189
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Country | US
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Telephone | 901-831-6337
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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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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2025-02878
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License Number State | NC
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