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General NPI Number Information
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NPI Number | 1962400655
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Entity Type | Individual
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Provider Name | JOHN THOMAS PEARSON DNP, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 227 OLD CAMDEN RD
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City | CAMDEN
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State | DE
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Zip | 19934-5524
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Country | US
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Telephone | 302-546-3246
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Fax | 302-506-3246
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Provider Business Mailing Address
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Address Line | 227 OLD CAMDEN RD
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City | CAMDEN
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State | DE
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Zip | 19934-5524
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Country | US
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Telephone | 302-546-3246
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Fax | 302-506-3246
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LG0000349
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License Number State | DE
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