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General NPI Number Information
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NPI Number | 1881976496
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Entity Type | Individual
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Provider Name | JOSHUA M THOMPSON M.S.ED., P.C.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 700 E 1ST ST
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City | DAYTON
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State | OH
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Zip | 45402-1303
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Country | US
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Telephone | 937-641-3211
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Fax | 937-641-4660
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Provider Business Mailing Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1815
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Country | US
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Telephone | 937-641-3000
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.1000400-SUPV
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License Number State | OH
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