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General NPI Number Information
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NPI Number | 1356503080
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Entity Type | Organization
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Legal Business Name | JOHN R THOMPSON, MD PLLC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 940 OLDHAM DR
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City | NOLENSVILLE
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State | TN
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Zip | 37135-9454
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Country | US
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Telephone | 615-776-8088
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Fax | 615-776-8012
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Provider Business Mailing Address
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Address Line | 940 OLDHAM DR
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City | NOLENSVILLE
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State | TN
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Zip | 37135-9454
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Country | US
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Telephone | 615-776-8088
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Fax | 615-776-8012
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN R THOMPSON
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Credential | M.D.
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Telephone | 615-776-8088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD020469
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License Number State | TN
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