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General NPI Number Information
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NPI Number | 1952734956
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Entity Type | Organization
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Legal Business Name | STEVE THOMPSON DDS, PC
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 832 W POPLAR AVE STE 2
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City | COLLIERVILLE
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State | TN
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Zip | 38017-4047
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Country | US
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Telephone | 901-854-4426
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Fax | 901-854-8063
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Provider Business Mailing Address
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Address Line | 832 W POPLAR AVE STE 2
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City | COLLIERVILLE
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State | TN
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Zip | 38017-4047
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Country | US
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Telephone | 901-854-4426
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Fax | 901-854-8063
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVE THOMPSON
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Credential | DDS
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Telephone | 901-854-4426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS3821
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License Number State | TN
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