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General NPI Number Information
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NPI Number | 1194791301
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Entity Type | Individual
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Provider Name | CHRIS LAVORIS THOMPSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 828 W PEMBROKE RD SUITE 2
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2157
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Country | US
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Telephone | 954-454-3810
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Fax | 954-964-7210
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Provider Business Mailing Address
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Address Line | 4898 SAND STONE LN #304
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-7551
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Country | US
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Telephone | 561-478-2200
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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 | CH8823
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License Number State | FL
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