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General NPI Number Information
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NPI Number | 1174572523
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Entity Type | Individual
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Provider Name | JOHN R THOMPSON III MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 800 E ROCHAMBEAU DR STE F230
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-9006
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Country | US
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Telephone | 757-656-2295
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Fax | 757-210-3108
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Provider Business Mailing Address
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Address Line | BOX 230 800 E ROCHAMBEAU DR STE F
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-9006
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Country | US
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Telephone | 757-656-2295
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Fax | 757-210-3108
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 15609
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 0101279714
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License Number State | VA
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