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General NPI Number Information
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NPI Number | 1871663377
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Entity Type | Individual
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Provider Name | GILIAN FRANCES THOMPSON P.A.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1025 NEW MOODY LN
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City | LA GRANGE
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State | KY
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Zip | 40031-9154
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Country | US
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Telephone | 502-222-3347
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Fax | 502-222-3646
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Provider Business Mailing Address
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Address Line | 14506 SULPHUR SPRINGS TER
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City | CHESTER
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State | VA
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Zip | 23836-2778
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Country | US
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Telephone | 909-717-3023
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Fax | 909-717-3023
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17729
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License Number State | CA
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