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General NPI Number Information
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NPI Number | 1932020823
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Entity Type | Individual
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Provider Name | NICOLE THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 259 MONROE AVE
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City | ROCHESTER
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State | NY
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Zip | 14607-3632
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Country | US
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Telephone | 585-545-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 OLD PARK SQ
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City | FARMINGTON
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State | NY
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Zip | 14425-8964
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | I060431
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License Number State | NY
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