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General NPI Number Information
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NPI Number | 1508839739
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Entity Type | Individual
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Provider Name | VANESSA THOMPSON PMHNP-GNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 269 SOUTH CHURCH STREET UNIT 213
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City | SPARTANBURG
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State | SC
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Zip | 29306-3412
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Country | US
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Telephone | 864-216-3868
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | INMAN
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State | SC
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Zip | 29349-0128
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Country | US
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Telephone | 864-216-3868
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 54104
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License Number State | SC
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