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General NPI Number Information
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NPI Number | 1881521433
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Entity Type | Individual
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Provider Name | MR. JAMES ROGER THOMPSON
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Gender | Male
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 1227 S 9TH ST
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City | SPRINGFIELD
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State | IL
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Zip | 62703-2524
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Country | US
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Telephone | 217-858-4340
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Fax | 217-858-4340
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Provider Business Mailing Address
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Address Line | 1011 S COLLEGE ST
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City | SPRINGFIELD
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State | IL
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Zip | 62704-2911
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Country | US
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Telephone | 217-622-5722
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Fax | 217-622-5722
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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