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General NPI Number Information
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NPI Number | 1275167686
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Entity Type | Individual
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Provider Name | ANGELLE BROOKS THOMPSON CNP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1648 HAMILTON ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-5054
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Country | US
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Telephone | 610-628-8038
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Fax |
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Provider Business Mailing Address
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Address Line | 1648 HAMILTON ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-5054
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Country | US
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Telephone | 610-628-8038
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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 | SP30778
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License Number State | PA
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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 | 5019834
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12391
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209254
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1104384
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15426200
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 36211
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License Number State | TN
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