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General NPI Number Information
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NPI Number | 1346685336
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Entity Type | Individual
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Provider Name | MICHELLE ANN THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 55 MAIN ST
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City | NEWMARKET
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State | NH
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Zip | 03857-1666
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Country | US
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Telephone | 860-986-2386
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Fax |
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Provider Business Mailing Address
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Address Line | 84 W BROADWAY STE 200
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City | DERRY
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State | NH
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Zip | 03038-2323
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Country | US
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Telephone | 509-768-2249
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 0763
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 8886
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License Number State | NH
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