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General NPI Number Information
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NPI Number | 1215055801
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Entity Type | Individual
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Provider Name | THUMPER BLOOMQUIST D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2300 W VICTORY BLVD SUITE E
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City | BURBANK
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State | CA
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Zip | 91506-1256
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Country | US
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Telephone | 818-848-9600
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Fax | 208-275-2137
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Provider Business Mailing Address
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Address Line | 2300 W. VICTORY BLVD SUITE E
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City | BURBANK
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State | CA
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Zip | 91506-1200
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Country | US
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Telephone | 818-848-9600
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Fax | 208-275-2137
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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 | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 013939
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 013939
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 013939
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License Number State | CA
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