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General NPI Number Information
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NPI Number | 1013317601
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Entity Type | Organization
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Legal Business Name | HUGH A. THOMPSON DDS
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 111 UPPERMAN LN
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City | BAXTER
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State | TN
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Zip | 38544-5168
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Country | US
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Telephone | 931-858-3181
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Fax | 931-858-3181
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Provider Business Mailing Address
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Address Line | 111 UPPERMAN LN
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City | BAXTER
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State | TN
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Zip | 38544-5168
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Country | US
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Telephone | 931-858-3181
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Fax | 931-858-3181
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JASON SMITH
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Credential |
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Telephone | 931-858-3181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3469
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License Number State | TN
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