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General NPI Number Information
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NPI Number | 1396727061
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Entity Type | Individual
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Provider Name | TRACI K THOMPSON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 3615 19TH ST # 149
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City | LUBBOCK
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State | TX
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Zip | 79410-1209
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Country | US
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Telephone | 806-725-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 3506 21ST ST STE 201
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City | LUBBOCK
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State | TX
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Zip | 79410-1211
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Country | US
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Telephone | 806-725-3800
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 43220
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1835S0206X
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Taxonomy Name | Solid Organ Transplant Pharmacist
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License Number | 43220
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43220
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License Number State | TX
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