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General NPI Number Information
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NPI Number | 1831316512
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Entity Type | Organization
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Legal Business Name | THOMPSON, SHADDIX & FISHER, LLP
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1600 REPUBLIC PKWY 210
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City | MESQUITE
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State | TX
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Zip | 75150-6918
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Country | US
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Telephone | 972-686-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 REPUBLIC PKWY 210
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City | MESQUITE
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State | TX
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Zip | 75150-6918
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Country | US
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Telephone | 972-686-1000
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. FRED E THOMPSON
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Credential | DDS
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Telephone | 972-686-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12339
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9159
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 16344
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License Number State | TX
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