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General NPI Number Information
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NPI Number | 1033163266
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Entity Type | Individual
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Provider Name | JEFFREY W THORNTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1830 BLAKE AVE STE 101
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4215
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Country | US
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Telephone | 970-384-7144
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Fax | 970-384-8115
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Provider Business Mailing Address
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Address Line | 1906 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4227
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Country | US
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Telephone | 970-945-6535
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Fax | 970-945-5460
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 23662
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 36617
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2008003316
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License Number State | MO
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