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General NPI Number Information
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NPI Number | 1801321690
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Entity Type | Individual
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Provider Name | JENNIFER TOMBARGE THOMPSON RNFA
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Gender | Female
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Dates
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Enumeration Date | 04/29/2017
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 21401 72ND AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-7702
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Country | US
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Telephone | 425-304-1101
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Fax | 425-412-1864
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Provider Business Mailing Address
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Address Line | PO BOX 5127
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City | EVERETT
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State | WA
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Zip | 98206-5127
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Country | US
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Telephone | 425-241-1261
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Fax | 425-304-1101
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN00130422
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License Number State | WA
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