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General NPI Number Information
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NPI Number | 1255956421
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Entity Type | Individual
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Provider Name | THOMAS LORBIE THOMSON III APRN
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Gender | Male
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 901 BOREN AVE STE 705
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City | SEATTLE
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State | WA
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Zip | 98104-3508
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Country | US
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Telephone | 206-720-9999
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Fax | 206-623-0222
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Provider Business Mailing Address
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Address Line | 901 BOREN AVE STE 705
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City | SEATTLE
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State | WA
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Zip | 98104-3508
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Country | US
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Telephone | 206-720-9999
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Fax | 206-623-0222
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 8925
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License Number State | CT
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