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General NPI Number Information
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NPI Number | 1447640578
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Entity Type | Individual
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Provider Name | ANDREA L THOMPSON APRN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 5448 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511-2620
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Country | US
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Telephone | 775-993-9292
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Fax | 775-993-9293
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Provider Business Mailing Address
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Address Line | 5448 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511-2620
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Country | US
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Telephone | 775-993-9292
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Fax | 775-993-9293
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN002402
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN002402
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License Number State | NV
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