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NPI 1568622645

NPI 1568622645 : JAMES P THOMPSON MD PA : EASTON, MD

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General NPI Number Information
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    NPI Number           |    1568622645
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMES P THOMPSON MD PA 
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Dates
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    Enumeration Date     |    06/12/2008
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    Last Update Date     |    06/12/2008
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Provider Practice Location Address
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    Address Line         |    8420 OCEAN GTWY 
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    City                 |    EASTON
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    State                |    MD
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    Zip                  |    21601-7169
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    Country              |    US
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    Telephone            |    410-822-0424
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    Fax                  |    410-822-2283
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Provider Business Mailing Address
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    Address Line         |    8420 OCEAN GTWY 
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    City                 |    EASTON
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    State                |    MD
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    Zip                  |    21601-7169
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    Country              |    US
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    Telephone            |    410-822-0424
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    Fax                  |    410-822-2283
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DERRICK  SHINDLER 
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    Credential           |    M.D.
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    Telephone            |    410-822-0424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    D0063440
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    License Number State |    MD
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