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General NPI Number Information
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NPI Number | 1497054001
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Entity Type | Individual
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Provider Name | JENNIFER N THOMPSON PT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 4087 HIGHWAY 31 SW
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City | FALKVILLE
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State | AL
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Zip | 35622-6319
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Country | US
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Telephone | 256-784-6197
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Fax | 256-784-5104
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Provider Business Mailing Address
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Address Line | 2030 CECIL ASHBURN DR SE #100
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City | HUNTSVILLE
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State | AL
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Zip | 35802-2561
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Country | US
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Telephone | 256-880-7776
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Fax | 256-880-7708
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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 | PTH6061
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License Number State | AL
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