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General NPI Number Information
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NPI Number | 1336958347
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Entity Type | Individual
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Provider Name | TRACY ANN THOMPSON MS, APCC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 82612 NUEVO CT
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City | INDIO
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State | CA
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Zip | 92201-1100
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Country | US
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Telephone | 631-767-0942
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Fax |
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Provider Business Mailing Address
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Address Line | 82612 NUEVO CT
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City | INDIO
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State | CA
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Zip | 92201-1100
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Country | US
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Telephone | 631-767-0942
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 17979
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License Number State | CA
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