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NPI Code Detail

MEDICARE: DIAMOND THOMPSON

MEDICARE: DIAMOND THOMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse191623OH

General Provider Information

NPI Number : 1255260022
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAMOND THOMPSON
Provider Business Mailing Address
First Line : 1529 PARKHILL RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-1739
Country : US
Telephone Number : 216-598-3053
Fax Number :
Provider Business Practice Location Address
First Line : 1529 PARKHILL RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-1739
Country : US
Telephone Number : 216-598-3053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ DIAMOND THOMPSON ” Practice Location

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