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General NPI Number Information
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NPI Number | 1891279063
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Entity Type | Individual
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Provider Name | ELIZABETH E THOMPSON MSN, ARRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 104 HOSPITAL DR
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City | CHATSWORTH
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State | GA
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Zip | 30705-2058
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Country | US
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Telephone | 706-695-1820
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12938 C/O CLINIC MANAGEMENT
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City | CALHOUN
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State | GA
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Zip | 30703
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Country | US
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Telephone | 706-602-7800
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9495686
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 225028
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License Number State | GA
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