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General NPI Number Information
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NPI Number | 1598656985
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Entity Type | Individual
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Provider Name | JOHN THOMPSON RBT
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Gender | Male
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 3011 S 14TH ST
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City | NEW CASTLE
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State | IN
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Zip | 47362-1845
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Country | US
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Telephone | 765-465-4290
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 N MEADOWLARK LN
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City | MUNCIE
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State | IN
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Zip | 47304-2852
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-449717
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License Number State | IN
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