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General NPI Number Information
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NPI Number | 1013092311
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Entity Type | Organization
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Legal Business Name | DANIEL E. THOMPSON, DENNIS C.SCHNECKER&DAMON B. THOMPSON, PC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 614 S MAIN ST
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City | BLACKSBURG
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State | VA
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Zip | 24060-5259
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Country | US
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Telephone | 540-953-2980
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Fax | 540-953-2005
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Provider Business Mailing Address
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Address Line | 614 S MAIN ST
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City | BLACKSBURG
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State | VA
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Zip | 24060-5259
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Country | US
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Telephone | 540-953-2980
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Fax | 540-953-2005
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Authorized Official
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Title or Position | OFFICER
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Name | DAMON B THOMPSON
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Credential | DDS
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Telephone | 540-953-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | VA
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