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General NPI Number Information
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NPI Number | 1750733937
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Entity Type | Individual
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Provider Name | COLLEEN ADELE THOMPSON NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 5950 UNIVERSITY AVE STE 341
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City | WEST DES MOINES
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State | IA
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Zip | 50266
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Country | US
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Telephone | 515-875-9800
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Fax | 515-875-9802
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Provider Business Mailing Address
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Address Line | 8105 N OAK TRFY
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City | KANSAS CITY
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State | MO
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Zip | 64118-1202
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Country | US
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Telephone | 816-562-6466
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2016013950
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2016013950
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2016013950
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2020010067
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 2016013950
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | H149695
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License Number State | IA
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