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General NPI Number Information
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NPI Number | 1902498181
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Entity Type | Organization
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Legal Business Name | JOSH THOMPSON MD PLLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 17941 ALBERTA ST
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City | ONEIDA
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State | TN
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Zip | 37841-3921
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Country | US
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Telephone | 423-569-7750
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Fax |
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Provider Business Mailing Address
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Address Line | 17941 ALBERTA ST
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City | ONEIDA
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State | TN
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Zip | 37841-3921
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Country | US
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Telephone | 423-569-7750
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JOSHUA THOMPSON
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Credential | MD
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Telephone | 423-569-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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