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General NPI Number Information
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NPI Number | 1154496859
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Entity Type | Individual
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Provider Name | CHRISTOPHER AARON THOMPSON DDS
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 29001 CEDAR RD BRAINARD PLACE, SUITE 453
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City | LYNDHURST
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State | OH
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Zip | 44124-4062
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Country | US
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Telephone | 440-446-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 29001 CEDAR RD STE 453
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City | LYNDHURST
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State | OH
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Zip | 44124-6501
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Country | US
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Telephone | 785-410-2557
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019027582
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 02202
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License Number State | OH
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