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General NPI Number Information
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NPI Number | 1841358462
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Entity Type | Individual
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Provider Name | CAREN LEE THOMPSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 2100 BAYNARD BLVD
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City | WILMINGTON
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State | DE
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Zip | 19802-3900
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Country | US
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Telephone | 302-777-5060
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Fax | 302-777-0422
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Provider Business Mailing Address
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Address Line | 2100 BAYNARD BLVD
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City | WILMINGTON
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State | DE
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Zip | 19802-3900
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Country | US
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Telephone | 302-777-5060
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Fax | 302-777-0422
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C10003417
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | C10003417
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License Number State | DE
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