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NPI 1548993702

NPI 1548993702 : ANNA KAY THOMPSON DDS : PENSACOLA, FL

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General NPI Number Information
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    NPI Number           |    1548993702
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA KAY THOMPSON DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2022
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    Last Update Date     |    07/28/2025
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Provider Practice Location Address
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    Address Line         |    450 TURNER ST UNIT 3600 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32508-5211
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    Country              |    US
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    Telephone            |    304-626-5788
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4902 MARVIN SHIELDS BLVD 
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    City                 |    GULFPORT
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    State                |    MS
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    Zip                  |    39501-9006
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    Country              |    US
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    Telephone            |    
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    4580
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    License Number State |    WV
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