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General NPI Number Information
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NPI Number | 1033069117
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Entity Type | Individual
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Provider Name | MARCUS ALLEN THOMPSON
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Gender | Male
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 6110 MCFARLAND STATION DR UNIT 400
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City | ALPHARETTA
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State | GA
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Zip | 30004-6806
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Country | US
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Telephone | 770-851-9890
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Fax |
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Provider Business Mailing Address
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Address Line | 1272 GRAYLAND LN
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-8376
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Country | US
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Telephone | 678-755-5692
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO66623
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License Number State | GA
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