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General NPI Number Information
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NPI Number | 1902191331
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Entity Type | Organization
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Legal Business Name | WILLIAM B THOMPSON DDS PS
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 6840 FORT DENT WAY SUITE 130
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City | TUKWILA
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State | WA
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Zip | 98188-8513
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Country | US
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Telephone | 206-242-5800
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Fax | 206-242-4166
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Provider Business Mailing Address
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Address Line | 6840 FORT DENT WAY SUITE 130
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City | TUKWILA
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State | WA
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Zip | 98188-8513
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Country | US
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Telephone | 206-242-5800
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Fax | 206-242-4166
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM THOMPSON
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Credential | DDS
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Telephone | 206-242-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5335
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License Number State | WA
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