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General NPI Number Information
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NPI Number | 1528138468
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Entity Type | Individual
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Provider Name | RONDA M THOMPSON CNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 235 E STATE ST
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City | SAINT CROIX FALLS
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State | WI
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Zip | 54024-4117
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Country | US
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Telephone | 715-483-3261
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Fax | 715-483-0380
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Provider Business Mailing Address
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Address Line | 1639A 293RD AVE
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City | FREDERIC
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State | WI
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Zip | 54837-3807
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Country | US
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Telephone | 715-472-2291
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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 | R146582-2
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4414-33
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License Number State | WI
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