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General NPI Number Information
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NPI Number | 1245413095
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Entity Type | Individual
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Provider Name | JOEL ALLAN THOMPSON OPA-C, ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 06/06/2017
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Provider Practice Location Address
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Address Line | 5729 LEBANON RD. SUITE 144 PMB 333
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-304-3501
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Fax | 469-304-3501
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Provider Business Mailing Address
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Address Line | 5279 LEBANON RD. SUITE 144 PMB 333
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-304-3501
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Fax | 469-304-3501
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | ATH.200007
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT4419
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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