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General NPI Number Information
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NPI Number | 1194124685
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Entity Type | Organization
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Legal Business Name | PAUL THOMPSON PA
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 2000 E LAMAR SUITE 155
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City | ARLINGTON
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State | TX
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Zip | 76006
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Country | US
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Telephone | 817-274-1952
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 993
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City | ALEDO
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State | TX
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Zip | 76008-0993
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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 | MEMEBER
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Name | DR. PAUL D THOMPSON
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Credential | M.D.
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Telephone | 817-296-6720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | M8385
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License Number State | TX
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