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General NPI Number Information
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NPI Number | 1063692960
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Entity Type | Organization
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Legal Business Name | THOMAS T DOXEY INC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 876 12TH ST
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City | OGDEN
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State | UT
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Zip | 84404-6400
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Country | US
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Telephone | 801-399-9802
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Fax | 801-399-9804
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Provider Business Mailing Address
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Address Line | 876 12TH ST
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City | OGDEN
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State | UT
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Zip | 84404-6400
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Country | US
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Telephone | 801-399-9802
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Fax | 801-399-9804
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS T DOXEY
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Credential | DC
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Telephone | 801-399-9802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 1640821202
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License Number State | UT
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