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General NPI Number Information
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NPI Number | 1205692910
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Entity Type | Organization
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Legal Business Name | PAIGE THOMPSON, PSYD PSYCHOLOGIST, P.C.
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1902 WRIGHT PL STE 200
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City | CARLSBAD
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State | CA
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Zip | 92008-6583
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Country | US
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Telephone | 858-621-3122
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Fax |
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Provider Business Mailing Address
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Address Line | 711 CENTER DR # 105-7083
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City | SAN MARCOS
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State | CA
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Zip | 92069-3500
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Country | US
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Telephone | 503-686-4506
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAIGE THOMPSON
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Credential |
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Telephone | 858-621-3122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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