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General NPI Number Information
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NPI Number | 1548277353
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Entity Type | Individual
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Provider Name | DIRK R THOMPSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 121 DREW AVE SE
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City | MADELIA
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State | MN
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Zip | 56062-1841
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Country | US
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Telephone | 507-642-5200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 616788
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City | ORLANDO
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State | FL
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Zip | 32861-6788
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Country | US
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Telephone | 407-533-6837
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Fax | 407-770-0661
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47119
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2019003502
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License Number State | MO
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