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General NPI Number Information
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NPI Number | 1710506159
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Entity Type | Organization
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Legal Business Name | PRECIOUS THOMPSON, DDS, PLLC
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 2235 THOUSAND OAKS DR STE 120
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City | SAN ANTONIO
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State | TX
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Zip | 78232-3967
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Country | US
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Telephone | 210-499-0975
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Fax | 844-601-5944
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Provider Business Mailing Address
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Address Line | 1150 N LOOP 1604 W 108-234
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City | SAN ANTONIO
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State | TX
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Zip | 78248-4552
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Country | US
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Telephone | 210-499-0975
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Fax | 844-601-5944
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | SARAH SAVAGE
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Credential |
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Telephone | 210-499-0975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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