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General NPI Number Information
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NPI Number | 1033450085
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Entity Type | Individual
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Provider Name | STEVEN JAMES THOMPSON LMT
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Gender | Male
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 815 N 5TH ST APT 105
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City | TACOMA
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State | WA
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Zip | 98403-1993
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Country | US
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Telephone | 253-732-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 815 N 5TH ST APT 105
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City | TACOMA
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State | WA
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Zip | 98403-1993
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Country | US
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Telephone | 253-732-0977
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | P160033894
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60714361
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License Number State | WA
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