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General NPI Number Information
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NPI Number | 1235930967
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Entity Type | Organization
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Legal Business Name | JACOB M THOMPSON DDS PC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 9301 S PADRE ISLAND DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418-5505
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Country | US
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Telephone | 361-937-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 15809 EL SOCCORRO LOOP
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418-6603
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Country | US
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Telephone | 281-808-0201
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JACOB MICHAEL THOMPSON
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Credential | DDS
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Telephone | 281-808-0201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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