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General NPI Number Information
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NPI Number | 1114403722
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Entity Type | Individual
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Provider Name | SHARON THOMPSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 7700 WISCONSIN AVE FL 8
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City | BETHESDA
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State | MD
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Zip | 20814-3578
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Country | US
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Telephone | 301-492-4054
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 PENNYPACKER LN
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City | BOWIE
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State | MD
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Zip | 20716-1754
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Country | US
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Telephone |
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | CO1289
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License Number State | MD
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