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General NPI Number Information
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NPI Number | 1417055484
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Entity Type | Individual
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Provider Name | WILLIAM L. THOMPSON JR. LPC
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 150 GLENWOOD LN
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5700
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Country | US
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Telephone | 205-969-2880
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Fax | 205-967-1323
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Provider Business Mailing Address
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Address Line | 1700 WINGFIELD CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5852
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Country | US
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Telephone | 205-969-2880
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Fax | 205-967-1323
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 778
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License Number State | AL
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