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General NPI Number Information
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NPI Number | 1831801042
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Entity Type | Individual
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Provider Name | ANDREW LEE THOMPSON
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Gender | Male
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 8725 S 212TH ST
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City | KENT
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State | WA
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Zip | 98031-1921
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Country | US
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Telephone | 425-658-3016
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Fax |
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Provider Business Mailing Address
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Address Line | 22926 126TH PL SE
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City | KENT
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State | WA
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Zip | 98031-3664
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Country | US
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Telephone | 253-876-4074
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | LABA.AB.70053743
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License Number State | WA
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