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General NPI Number Information
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NPI Number | 1164528345
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Entity Type | Individual
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Provider Name | DONALD JOSEPH THOMPSON DDS
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3602 SLIDE RD SUITE 31D SECURITY PARK
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City | LUBBOCK
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State | TX
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Zip | 79414-2532
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Country | US
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Telephone | 806-793-3535
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Fax | 806-281-0224
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Provider Business Mailing Address
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Address Line | 3602 SLIDE RD SUITE 31D SECURITY PARK
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City | LUBBOCK
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State | TX
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Zip | 79414-2532
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Country | US
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Telephone | 806-793-3535
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Fax | 806-281-0224
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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 | D13227
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License Number State | TX
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