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General NPI Number Information
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NPI Number | 1275998593
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Entity Type | Individual
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Provider Name | SUZANNE THOMPSON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 4425 19TH ST
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City | LUBBOCK
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State | TX
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Zip | 79407
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Country | US
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Telephone | 806-788-2015
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Fax | 806-788-2016
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Provider Business Mailing Address
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Address Line | 805 NW AVENUE I
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City | SEMINOLE
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State | TX
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Zip | 79360-2511
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Country | US
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Telephone | 432-209-0477
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42491
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License Number State | TX
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