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General NPI Number Information
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NPI Number | 1164306858
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Entity Type | Individual
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Provider Name | PRESTON THOMPSON
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Gender | Male
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2730 WILSHIRE BLVD STE 450
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City | SANTA MONICA
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State | CA
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Zip | 90403-4742
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Country | US
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Telephone | 310-586-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 13251 BRANFORD ST
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City | ARLETA
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State | CA
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Zip | 91331-5712
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Country | US
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Telephone | 818-442-8991
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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