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General NPI Number Information
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NPI Number | 1225546021
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Entity Type | Individual
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Provider Name | TRACY LEIGH THOMPSON RN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2018
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10450 E RIGGS RD STE 114
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City | SUN LAKES
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State | AZ
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Zip | 85248-7760
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Country | US
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Telephone | 480-505-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 16200 ADDISON RD STE 155
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City | ADDISON
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State | TX
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Zip | 75001-5333
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Country | US
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Telephone | 972-417-8937
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 239349
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 4704262656
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License Number State | MI
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