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General NPI Number Information
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NPI Number | 1598008880
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Entity Type | Organization
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Legal Business Name | THOMPSON. FERGUSON. STEINHART. JAMES, PLLC
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 6525 BURDEN BOULEVARD
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City | PASCO
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State | WA
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Zip | 99301
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Country | US
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Telephone | 509-823-4480
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Fax | 509-823-4488
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Provider Business Mailing Address
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Address Line | 4309 W NOB HILL BLVD
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City | YAKIMA
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State | WA
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Zip | 98908-3971
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Country | US
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Telephone | 509-823-4480
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEREK THOMPSON
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Credential | DMD
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Telephone | 509-823-4480
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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 | DE60102410
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60232759
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60166205
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE00009229
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60293839
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60232173
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE00010686
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DE00011197
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60170604
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License Number State | WA
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