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General NPI Number Information
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NPI Number | 1144831751
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Entity Type | Individual
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Provider Name | ELAINE THORNTON D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 899 EL CENTRO ST STE 213
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-3101
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Country | US
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Telephone | 781-267-6470
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Fax |
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Provider Business Mailing Address
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Address Line | 727 MERIDIAN AVE
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-6024
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Country | US
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Telephone | 718-267-6470
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 34856
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License Number State | CA
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