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General NPI Number Information
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NPI Number | 1376279968
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Entity Type | Individual
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Provider Name | RACHEL THOMPSON DMD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 2935 E 96TH ST STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1382
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Country | US
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Telephone | 317-846-3463
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Fax |
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Provider Business Mailing Address
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Address Line | 16707 GEORGE GANG BLVD
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City | WESTFIELD
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State | IN
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Zip | 46062-6013
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Country | US
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Telephone | 317-504-1686
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12013866A
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License Number State | IN
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