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General NPI Number Information
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NPI Number | 1053463182
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Entity Type | Organization
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Legal Business Name | DAVID I THOMPSON DDS & ASSOC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1309 SO MARY AVE SUITE 105
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City | SUNNYVALE
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State | CA
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Zip | 94087-3053
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Country | US
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Telephone | 408-736-3602
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Fax | 408-736-3061
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Provider Business Mailing Address
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Address Line | 1309 SO MARY AVE SUITE 105
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City | SUNNYVALE
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State | CA
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Zip | 94087-3053
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Country | US
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Telephone | 408-736-3602
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Fax | 408-736-3061
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Authorized Official
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Title or Position | OWNER
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Name | DAVID IAN THOMPSON
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Credential | DDS
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Telephone | 408-736-3602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31873
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License Number State | CA
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