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General NPI Number Information
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NPI Number | 1275861890
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Entity Type | Organization
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Legal Business Name | MICHAEL THOMPSON MD INC
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 307 MALL DR SUITE 103
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City | HANFORD
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State | CA
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Zip | 93230-5793
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Country | US
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Telephone | 559-585-1158
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Fax | 559-585-8116
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Provider Business Mailing Address
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Address Line | PO BOX 1147
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City | HANFORD
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State | CA
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Zip | 93232-1147
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Country | US
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Telephone | 559-585-1158
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Fax | 559-585-8116
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL D. THOMPSON
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Credential | M.D.
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Telephone | 559-585-1158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G56271
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License Number State | CA
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