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General NPI Number Information
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NPI Number | 1689521122
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Entity Type | Individual
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Provider Name | ANYAH L THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 205 W FRANCISCAN DR
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City | CROWN POINT
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State | IN
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Zip | 46307-4802
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Country | US
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Telephone | 888-998-5269
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Fax |
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Provider Business Mailing Address
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Address Line | 10322 S AVENUE O
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City | CHICAGO
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State | IL
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Zip | 60617-5938
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Country | US
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Telephone | 773-431-0616
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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 | 1529808
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License Number State | IL
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