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General NPI Number Information
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NPI Number | 1285650069
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Entity Type | Individual
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Provider Name | RODNEY THOMPSON LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 200 E FRAZIER AVE
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City | COLUMBIA
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State | KY
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Zip | 42728-1915
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Country | US
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Telephone | 270-384-4710
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Fax | 270-384-4820
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Provider Business Mailing Address
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Address Line | 259 PARKERS MILL RD
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City | SOMERSET
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State | KY
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Zip | 42501-3152
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Country | US
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Telephone | 606-679-4782
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Fax | 606-678-5296
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1079
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License Number State | KY
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