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General NPI Number Information
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NPI Number | 1578015277
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Entity Type | Individual
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Provider Name | JAMES LEE THOMPSON CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 9320 US HIGHWAY 301 S
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City | RIVERVIEW
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State | FL
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Zip | 33578-6300
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Country | US
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Telephone | 813-471-0000
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Fax | 656-233-5024
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Provider Business Mailing Address
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Address Line | 5534 GARDEN ARBOR DR
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City | LUTZ
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State | FL
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Zip | 33558-9240
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Country | US
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Telephone | 615-513-1843
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0000171011
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN9447456
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License Number State | FL
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