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General NPI Number Information
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NPI Number | 1225129919
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Entity Type | Individual
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Provider Name | RONALD EDWARD THOMPSON PSY MA
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 19 COURT ST
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City | MONTPELIER
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State | VT
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Zip | 05602
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Country | US
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Telephone | 802-279-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 576 LIGHTENING RIDGE RD
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City | PLAINFIELD
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State | VT
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Zip | 05667-9328
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Country | US
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Telephone | 802-279-8404
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 000682
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 000682
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License Number State | VT
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