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General NPI Number Information
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NPI Number | 1013577287
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Entity Type | Individual
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Provider Name | DANNY THOMPSON SR.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 9100 ARBORETUM PKWY STE 180
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-3491
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Country | US
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Telephone | 804-647-7416
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Fax | 804-557-0203
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Provider Business Mailing Address
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Address Line | 9625 RANSOM HILLS TER
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23237-3470
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Country | US
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Telephone | 804-647-7416
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Fax | 804-557-0203
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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