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General NPI Number Information
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NPI Number | 1659837771
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Entity Type | Individual
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Provider Name | RENEE THOMPSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 490 BLUE HILLS AVENUE
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City | HARTFORD
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State | CT
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Zip | 06112
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Country | US
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Telephone | 860-714-2149
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Fax | 806-714-8933
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Provider Business Mailing Address
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Address Line | 7210 LOMA LINDA DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9455
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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