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General NPI Number Information
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NPI Number | 1285654830
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Entity Type | Individual
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Provider Name | SHUNDA THOMPSON DDS
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 134 VINTAGE PARK BLVD STE A
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City | HOUSTON
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State | TX
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Zip | 77070-3998
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Country | US
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Telephone | 832-271-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 12022 VIA PALAZZO LN
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City | CYPRESS
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State | TX
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Zip | 77429-7434
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Country | US
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Telephone | 713-775-2888
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Fax | 281-359-5516
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23564
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 23564
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 23564
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN012649
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License Number State | GA
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