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General NPI Number Information
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NPI Number | 1851331425
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Entity Type | Individual
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Provider Name | PATRICIA ANNE THOMPSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 4300 LONDONDERRY ROAD
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City | HARRISBURG
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State | PA
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Zip | 17105
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Country | US
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Telephone | 717-657-7302
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Fax |
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Provider Business Mailing Address
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Address Line | 118 WASHINGTON ST
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City | HARRISBURG
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State | PA
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Zip | 17104-1612
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Country | US
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Telephone | 717-231-8539
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Fax | 717-231-8588
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN198624L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 031742
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License Number State | PA
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