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General NPI Number Information
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NPI Number | 1679991947
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Entity Type | Individual
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Provider Name | HEATHER THOMSON
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 09/26/2017
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Provider Practice Location Address
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Address Line | 2101 CORNWALL AVE SUITE 101
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City | BELLINGHAM
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State | WA
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Zip | 98225-3649
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Country | US
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Telephone | 360-647-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 3015 SQUALICUM PKWY. #160
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City | BELLINGHAM
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State | WA
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Zip | 98225
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Country | US
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Telephone | 360-671-4402
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60506141
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60506141
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License Number State | WA
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