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General NPI Number Information
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NPI Number | 1962869966
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Entity Type | Individual
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Provider Name | DAVID THOMPSON LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 199 N 290 W STE 150
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City | LINDON
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State | UT
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Zip | 84042-5004
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Country | US
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Telephone | 801-319-2041
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Fax |
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Provider Business Mailing Address
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Address Line | 146 N 765 E
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2879
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Country | US
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Telephone | 801-319-2041
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 6555226-3902
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License Number State | UT
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