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NPI Code Detail

MEDICARE: PAUL WILLIAM THOMPSON L.C.S.W.

MEDICARE: PAUL WILLIAM THOMPSON L.C.S.W.
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
11041C0700XClinical Social WorkerLCS 16842CA

General Provider Information

NPI Number : 1548371669
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL WILLIAM THOMPSON L.C.S.W.
Provider Business Mailing Address
First Line : 37154 FLORAL CREEK CIR
Second Line :
City : MURRIETA
State : CA
Zip : 92562-3253
Country : US
Telephone Number : 951-698-6714
Fax Number :
Provider Business Practice Location Address
First Line : 1688 N PERRIS BLVD
Second Line : L7 - L11
City : PERRIS
State : CA
Zip : 92571-4709
Country : US
Telephone Number : 951-443-2252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 12/09/2010

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