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General NPI Number Information
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NPI Number | 1982938593
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Entity Type | Individual
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Provider Name | KATHLEEN M. THATCHER PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 401 N. EWING STREET FAIRFIELD EMERGENCY PHYSICIANS
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-687-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 14279 STATE ROUTE 93 S
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City | LOGAN
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State | OH
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Zip | 43138-9786
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Country | US
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Telephone | 740-380-3116
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50.000713
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License Number State | OH
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