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General NPI Number Information
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NPI Number | 1235866799
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Entity Type | Individual
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Provider Name | DALTON T THURMAN DC
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Gender | Male
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 308 E CHERRY ST
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City | NOBLE
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State | OK
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Zip | 73068-8919
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Country | US
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Telephone | 660-591-5813
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Fax |
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Provider Business Mailing Address
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Address Line | 6750 96TH ST
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City | NOBLE
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State | OK
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Zip | 73068-7544
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Country | US
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Telephone | 660-591-5813
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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 | 2022027975
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4548
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License Number State | OK
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