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General NPI Number Information
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NPI Number | 1760296065
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Entity Type | Individual
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Provider Name | ANITA MARIE THOMPSON PTA
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 8003 FRANKLIN FARMS DR
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City | RICHMOND
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State | VA
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Zip | 23229-5107
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Country | US
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Telephone | 804-945-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 274 CENTERVILLE RD
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City | MINERAL
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State | VA
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Zip | 23117-4601
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Country | US
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Telephone | 540-205-0740
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306605586
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License Number State | VA
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