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General NPI Number Information
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NPI Number | 1114147386
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Entity Type | Individual
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Provider Name | DAVID THOMSON LMFT
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Gender | Male
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 22443 SE 240TH ST SUITE 202
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5898
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Country | US
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Telephone | 206-241-5697
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Fax | 253-390-6520
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Provider Business Mailing Address
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Address Line | 22443 SE 240TH ST SUITE 202
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5898
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Country | US
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Telephone | 206-241-5697
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Fax | 253-390-6520
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00001442
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License Number State | WA
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