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General NPI Number Information
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NPI Number | 1033081039
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Entity Type | Individual
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Provider Name | ASAAN THOMPSON
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Gender | Male
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 27357 FRAMPTON AVE
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City | BROOKSVILLE
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State | FL
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Zip | 34602-7306
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Country | US
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Telephone | 813-404-1451
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Fax |
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Provider Business Mailing Address
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Address Line | 3979 WOODLAND RETREAT BLVD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-4594
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Country | US
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Telephone | 336-813-1673
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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