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General NPI Number Information
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NPI Number | 1134533011
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Entity Type | Individual
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Provider Name | MONICA DENISE THOMPSON M.ED CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 2675 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054-1478
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Country | US
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Telephone | 704-824-4999
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Fax | 704-824-3999
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Provider Business Mailing Address
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Address Line | 2100 N JOHN RUSSELL CIR APT A
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City | ELKINS PARK
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State | PA
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Zip | 19027-1003
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Country | US
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Telephone | 336-870-9065
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL010807
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License Number State | PA
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