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General NPI Number Information
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NPI Number | 1255393450
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Entity Type | Individual
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Provider Name | RODNEY L THOMPSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 112 COLUMBIA ST. POB 1010
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City | SUMAS
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State | WA
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Zip | 98295-1010
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Country | US
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Telephone | 360-988-9404
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Fax | 360-988-9409
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Provider Business Mailing Address
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Address Line | PO BOX 1010 112 COLUMBIA ST.
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City | SUMAS
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State | WA
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Zip | 98295-1010
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Country | US
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Telephone | 360-988-9404
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Fax | 360-988-9409
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00039892
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License Number State | WA
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