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General NPI Number Information
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NPI Number | 1386756971
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Entity Type | Individual
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Provider Name | ROBERT SCOTT THOMPSON DO
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 2712 MIDDLEBURG DR STE 206
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City | COLUMBIA
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State | SC
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Zip | 29204-2415
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Country | US
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Telephone | 803-348-7433
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Fax |
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Provider Business Mailing Address
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Address Line | 3019 STEPP DR
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City | COLUMBIA
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State | SC
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Zip | 29204-3633
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Country | US
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Telephone | 171-790-3936
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS008731L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS008731L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36644
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License Number State | SC
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