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General NPI Number Information
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NPI Number | 1457500563
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Entity Type | Individual
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Provider Name | MARY WEBB THOMPSON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 1409 W BADDOUR PKWY SUITE A
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City | LEBANON
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State | TN
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Zip | 37087-2599
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Country | US
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Telephone | 615-444-1408
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Fax | 615-444-1393
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Provider Business Mailing Address
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Address Line | 1427 W BADDOUR PKWY STE A
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City | LEBANON
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State | TN
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Zip | 37087-3062
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Country | US
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Telephone | 615-444-1408
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Fax | 615-444-1393
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8179
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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