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General NPI Number Information
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NPI Number | 1275088668
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE THOMPSON FNP - BC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 95 3RD ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-3103
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Country | US
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Telephone | 415-580-0806
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 364
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City | SPRINGFIELD
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State | NH
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Zip | 03284-0364
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Country | US
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Telephone | 415-580-0806
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20885
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21569
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License Number State | TN
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