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General NPI Number Information
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NPI Number | 1063531168
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Entity Type | Organization
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Legal Business Name | STEPHEN THOMAS DC, CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 4890 TOPANGA CANYON BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-4229
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Country | US
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Telephone | 818-347-9126
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Fax |
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Provider Business Mailing Address
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Address Line | 4890 TOPANGA CANYON BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-4229
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Country | US
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Telephone | 818-347-9126
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN E THOMAS
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Credential | DC
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Telephone | 818-347-9126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 17872
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License Number State | CA
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