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General NPI Number Information
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NPI Number | 1184136616
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Entity Type | Organization
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Legal Business Name | THOMPSON COUNSELING
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2700 BRIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207-2974
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Country | US
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Telephone | 256-239-0314
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Fax | 256-236-2547
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Provider Business Mailing Address
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Address Line | 500 COUNTRY LN
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City | OXFORD
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State | AL
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Zip | 36203-3600
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Country | US
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Telephone | 256-239-0314
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Fax | 256-236-2547
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JUDITH A THOMPSON
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Credential | LICSW
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Telephone | 256-239-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1206-1538C
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License Number State | AL
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