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General NPI Number Information
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NPI Number | 1134540511
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Entity Type | Organization
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Legal Business Name | MARGARET A THOMSON LCSW
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Dates
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Enumeration Date | 01/02/2014
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 3451 BONITA BAY BLVD SUITE 209
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-4354
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Country | US
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Telephone | 239-949-3199
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Fax | 239-949-7054
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Provider Business Mailing Address
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Address Line | 3451 BONITA BAY BLVD SUITE 209
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-4354
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Country | US
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Telephone | 239-949-3199
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Fax | 239-949-7054
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Authorized Official
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Title or Position | OWNER
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Name | PEGGY A THOMSON
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Credential | LCSW
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Telephone | 239-949-3199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW5225
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License Number State | FL
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