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General NPI Number Information
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NPI Number | 1053064436
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Entity Type | Individual
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Provider Name | MICHELLE THOMPSON APRN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 25 W MAIN ST
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City | AUSTIN
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State | IN
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Zip | 47102-1303
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Country | US
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Telephone | 812-794-8100
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Fax | 812-794-8200
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Provider Business Mailing Address
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Address Line | BUSINESS OFFICE: 802 OVERHILL DR
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-7252
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Country | US
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Telephone | 502-543-9124
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Fax | 502-543-0844
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3017329
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71015840A
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License Number State | IN
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