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General NPI Number Information
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NPI Number | 1114053592
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Entity Type | Organization
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Legal Business Name | THOMPSON CHIROPRACTIC CENTER P.C.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 317 W MAIN ST
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City | SANFORD
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State | NC
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Zip | 27332-5921
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Country | US
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Telephone | 919-776-1020
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Fax | 919-775-1930
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Provider Business Mailing Address
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Address Line | 317 W MAIN ST
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City | SANFORD
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State | NC
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Zip | 27332-5921
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Country | US
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Telephone | 919-776-1020
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Fax | 919-775-1930
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. JODIE THOMPSON
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Credential | D.C.
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Telephone | 919-776-1020
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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 | 3303
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License Number State | NC
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