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NPI 1700967957

NPI 1700967957 : GARRIE BURTON THOMPSON III PH.D. : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1700967957
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    Entity Type          |    Individual 
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    Provider Name        |    GARRIE BURTON THOMPSON III PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/17/2006
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    1612 ASHEVILLE HWY STE 2 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28791-3466
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    Country              |    US
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    Telephone            |    828-595-9531
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    Fax                  |    828-595-9431
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Provider Business Mailing Address
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    Address Line         |    1612 ASHEVILLE HWY STE 2 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28791-3466
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    Country              |    US
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    Telephone            |    828-595-9531
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    Fax                  |    828-595-9431
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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        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    PY5584
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    6170
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    License Number State |    NC
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