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General NPI Number Information
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NPI Number | 1720087109
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Entity Type | Individual
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Provider Name | KENNEN B THOMPSON MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 1700 SW 7TH ST
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City | TOPEKA
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State | KS
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Zip | 66606-2489
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Country | US
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Telephone | 785-295-5346
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Fax | 785-231-5930
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Provider Business Mailing Address
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Address Line | PO BOX 1657
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City | TOPEKA
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State | KS
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Zip | 66601-1657
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Country | US
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Telephone | 785-295-8108
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Fax | 785-231-5991
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 426469
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 04-26469
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License Number State | KS
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