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General NPI Number Information
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NPI Number | 1366201162
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Entity Type | Individual
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Provider Name | CLAIRE THOMPSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 2050 PFINGSTEN RD. SUITE 360
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City | GLENVIEW
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State | IL
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Zip | 60026-1313
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Country | US
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Telephone | 847-998-4170
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Fax | 847-998-4165
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE. SUITE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 847-570-2040
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50.008612RX
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085010418
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License Number State | IL
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