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General NPI Number Information
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NPI Number | 1003323478
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Entity Type | Individual
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Provider Name | PATRICK THOMPSON LAC
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Gender | Male
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 604 SOLAREX CT
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City | FREDERICK
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State | MD
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Zip | 21703-7005
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Country | US
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Telephone | 301-305-2321
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Fax |
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Provider Business Mailing Address
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Address Line | 9009 GRAPE CREEK RD
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City | WALKERSVILLE
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State | MD
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Zip | 21793-8808
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Country | US
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Telephone | 301-305-2321
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02458
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License Number State | MD
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