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General NPI Number Information
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NPI Number | 1255450615
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Entity Type | Individual
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Provider Name | NANCY THOMPSON LPC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 24919 S 4420 RD
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City | VINITA
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State | OK
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Zip | 74301-5529
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Country | US
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Telephone | 918-256-9210
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Fax | 918-256-6777
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Provider Business Mailing Address
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Address Line | 14 E MOUNTAIN DR
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-9726
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Country | US
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Telephone | 808-343-8720
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1801
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License Number State | OK
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