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General NPI Number Information
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NPI Number | 1972621118
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Entity Type | Organization
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Legal Business Name | J. ANDERSON THOMSON, JR., M.D.,P.C
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/11/2015
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Provider Practice Location Address
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Address Line | 2 BOARS HEAD PL SUITE 100
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4677
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Country | US
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Telephone | 434-296-2801
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Fax | 434-296-2801
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Provider Business Mailing Address
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Address Line | 2 BOARS HEAD PL SUITE 100
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4677
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Country | US
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Telephone | 434-296-2801
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Fax | 434-296-2801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES ANDERSON THOMSON JR.
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Credential | M.D.
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Telephone | 434-296-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101-025656
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License Number State | VA
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