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1427378272

NPI Code Detail

MEDICARE: DR. JEFFREY CHARLES THOMPSON MD

MEDICARE: DR. JEFFREY CHARLES THOMPSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	MD452416	PA
2	208100000X	Physical Medicine & Rehabilitation Physician	35.129461	OH

General Provider Information

NPI Number	:	1427378272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY CHARLES THOMPSON MD

Provider Business Mailing Address
First Line	:	33355 HEALTH CAMPUS BLVD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1399
Country	:	US
Telephone Number	:	440-937-9099
Fax Number	:	440-937-9755

Provider Business Practice Location Address
First Line	:	33355 HEALTH CAMPUS BLVD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1399
Country	:	US
Telephone Number	:	440-937-9099
Fax Number	:	440-937-9755

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	12/29/2016

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Directions to “ DR. JEFFREY CHARLES THOMPSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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