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General NPI Number Information
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NPI Number | 1720107816
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Entity Type | Individual
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Provider Name | ANDREW DAVID THOMPSON M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 3990 JOHN R ST DMC HARPER UNIVERSITY HOSPITAL, DEPARTMENT OF PATHOLOGY
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City | DETROIT
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State | MI
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Zip | 48201-2018
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Country | US
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Telephone | 313-745-8555
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Fax | 313-745-9299
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Provider Business Mailing Address
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Address Line | 1560 E MAPLE RD SUITE 400-CREDENTIALING
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City | TROY
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State | MI
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Zip | 48083-1138
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Country | US
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Telephone | 248-581-5974
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Fax | 248-581-5640
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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 | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 4301001033
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 2006-00866
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 57854
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 29128
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | A77438
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 4301001033
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 4301101033
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License Number State | MI
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