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General NPI Number Information
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NPI Number | 1598045833
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Entity Type | Individual
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Provider Name | REBECCA ANN THOMPSON WHNP-BC, ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2011
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 400 REBEL DRIVE
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City | UNIVERSITY
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State | MS
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Zip | 38677
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Country | US
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Telephone | 662-915-7274
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Fax | 662-915-5292
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Provider Business Mailing Address
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Address Line | 400 REBEL DRIVE
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City | UNIVERSITY
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State | MS
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Zip | 38677
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Country | US
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Telephone | 662-915-7274
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Fax | 662-915-5292
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R670446
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APN15987
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R670446
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License Number State | MS
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