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General NPI Number Information
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NPI Number | 1265396733
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Entity Type | Organization
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Legal Business Name | JESSICA THOMPSON
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 11100 ASH ST STE 110
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City | LEAWOOD
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State | KS
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Zip | 66211-1700
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Country | US
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Telephone | 913-732-3583
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Fax | 913-538-0300
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Provider Business Mailing Address
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Address Line | 11100 ASH ST STE 110
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City | LEAWOOD
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State | KS
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Zip | 66211-1700
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Country | US
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Telephone | 913-732-3583
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Fax | 913-538-0300
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | JESSICA LEE THOMPSON
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Credential | MS, RD, LD, CEDS
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Telephone | 913-732-3583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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