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General NPI Number Information
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NPI Number | 1255450904
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Entity Type | Individual
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Provider Name | DON JEFFREY THOMPSON
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 966 W MAIN ST B
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City | ABINGDON
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State | VA
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Zip | 24210-2483
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Country | US
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Telephone | 276-628-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 966 W MAIN ST B
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City | ABINGDON
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State | VA
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Zip | 24210-2483
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Country | US
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Telephone | 276-628-3486
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 71
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121000043
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License Number State | VA
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