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General NPI Number Information
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NPI Number | 1083870885
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Entity Type | Individual
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Provider Name | SUSAN JOAN THOMPSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 01/01/2009
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Provider Practice Location Address
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Address Line | 2201 LONG PRAIRIE RD SUITE 107, #810
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4832
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Country | US
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Telephone | 972-375-8618
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Fax | 302-370-8618
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Provider Business Mailing Address
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Address Line | 2201 LONG PRAIRIE RD SUITE 107, #810
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4832
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Country | US
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Telephone | 972-375-8618
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Fax | 302-370-8618
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 108722
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 13245
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License Number State | FL
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