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General NPI Number Information
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NPI Number | 1174451074
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Entity Type | Individual
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Provider Name | ELIZABETH RYANN THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 7710 STAR BRIGHT LN
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City | CANYON
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State | TX
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Zip | 79015-6180
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Country | US
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Telephone | 806-476-8175
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 UNION CIR
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City | DENTON
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State | TX
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Zip | 76203-5017
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 961300
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 961300
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License Number State | TX
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