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General NPI Number Information
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NPI Number | 1184191108
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Entity Type | Individual
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Provider Name | SHARON MARIE THOMPSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 10/29/2018
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Provider Practice Location Address
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Address Line | SCHOOL DISTRICT OF PHILADELPHIA/SCHOOL HEALTH SERVICES 440 NORTH BROAD STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19130
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Country | US
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Telephone | 215-400-6094
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Fax | 215-400-4173
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Provider Business Mailing Address
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Address Line | 1610 S BAILEY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-1219
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Country | US
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Telephone | 215-284-4814
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Fax | 215-400-7851
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | UP580026B
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | UP005826B
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License Number State | PA
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