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General NPI Number Information
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NPI Number | 1023479938
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Entity Type | Organization
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Legal Business Name | JAMES THOMPSON MEDICAL LLC
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Dates
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Enumeration Date | 03/19/2016
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Last Update Date | 03/19/2016
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Provider Practice Location Address
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Address Line | 5206 MARKEL RD SUITE 102
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City | RICHMOND
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State | VA
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Zip | 23230-3044
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Country | US
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Telephone | 804-507-1644
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Fax | 804-507-0116
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Provider Business Mailing Address
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Address Line | 5206 MARKEL RD SUITE 102
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City | RICHMOND
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State | VA
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Zip | 23230-3044
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Country | US
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Telephone | 804-507-1644
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Fax | 804-507-0116
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES E THOMPSON
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Credential | MD
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Telephone | 804-507-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0101246355
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License Number State | VA
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