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General NPI Number Information
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NPI Number | 1548127178
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Entity Type | Individual
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Provider Name | JASMINE NICOLE THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3601 ODONNELL ST STE 260
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City | BALTIMORE
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State | MD
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Zip | 21224-5563
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Country | US
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Telephone | 484-965-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 640 FREEDOM BUSINESS CTR DR STE 220
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1376
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Country | US
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Telephone | 484-965-9966
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MD
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