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General NPI Number Information
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NPI Number | 1336185073
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Entity Type | Individual
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Provider Name | HAROLD THOMPSON MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1717 ARLINGTON AVE
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City | CALDWELL
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State | ID
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Zip | 83605-4802
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Country | US
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Telephone | 208-459-4641
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Fax |
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Provider Business Mailing Address
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Address Line | 1880 N EMERALD BAY AVE
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City | EAGLE
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State | ID
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Zip | 83616-3571
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Country | US
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Telephone | 208-938-8838
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M8211
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License Number State | ID
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