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NPI 1366846735

NPI 1366846735 : HEATHER L. THOMPSON PA-C : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1366846735
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER L. THOMPSON PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/14/2014
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    6600 NIGHTINGALE LN 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37909-2754
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    Country              |    US
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    Telephone            |    865-632-5885
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    Fax                  |    865-374-2163
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Provider Business Mailing Address
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    Address Line         |    6600 NIGHTINGALE LN 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37909-2754
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    Country              |    US
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    Telephone            |    865-632-5885
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    Fax                  |    865-374-2163
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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       |    2610
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    License Number State |    TN
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