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General NPI Number Information
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NPI Number | 1275709933
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Entity Type | Organization
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Legal Business Name | M.A. THOMPSON, MD LLC
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 2748 BELLECHASSE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-4244
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Country | US
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Telephone | 504-296-7239
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Fax | 504-309-4762
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Provider Business Mailing Address
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Address Line | PO BOX 2054
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City | METAIRIE
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State | LA
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Zip | 70004-2054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MARK THOMPSON
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Credential |
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Telephone | 504-296-7239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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