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General NPI Number Information
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NPI Number | 1891673745
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Entity Type | Individual
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Provider Name | JOHN THOMPSON PHD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 12631 E 17TH AVE STE C307
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City | AURORA
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State | CO
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Zip | 80045-2527
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Country | US
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Telephone | 850-264-2215
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Fax |
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Provider Business Mailing Address
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Address Line | 6793 W 98TH CIR
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City | WESTMINSTER
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State | CO
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Zip | 80021-5418
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Country | US
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Telephone | 850-264-2215
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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 | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | NA
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License Number State | CO
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