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General NPI Number Information
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NPI Number | 1043710569
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Entity Type | Individual
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Provider Name | MONICA LYN THOMPSON PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 1010 DELAFIELD RD
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City | PITTSBURGH
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State | PA
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Zip | 15215-1802
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Country | US
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Telephone | 412-822-3101
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Fax |
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Provider Business Mailing Address
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Address Line | 2429 CASTLE KEEP WAY SE
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City | ATLANTA
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State | GA
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Zip | 30316-3868
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Country | US
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Telephone | 708-250-7370
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY004101
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 023764
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY0004101
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License Number State | GA
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