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General NPI Number Information
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NPI Number | 1457092363
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Entity Type | Individual
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Provider Name | ROSEMARY JILLIAN THOMPSON DPM
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 210 WISCONSIN AMERICAN DR
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City | FOND DU LAC
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State | WI
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Zip | 54937-2999
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Country | US
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Telephone | 920-907-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 735044
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City | CHICAGO
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State | IL
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Zip | 60673-5044
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Country | US
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Telephone | 800-326-2250
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1341
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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