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General NPI Number Information
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NPI Number | 1235170218
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Entity Type | Individual
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Provider Name | JULIE-ANN M THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 3501 JOHNSON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5421
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Country | US
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Telephone | 954-987-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 CORPORATE WAY STE D
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City | MIRAMAR
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State | FL
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Zip | 33025-3925
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Country | US
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Telephone | 954-276-5572
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Fax | 954-985-7049
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME90855
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License Number State | FL
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