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General NPI Number Information
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NPI Number | 1255471116
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Entity Type | Organization
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Legal Business Name | THUY-KHANH PHAM CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1683 N MILPITAS BLVD
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City | MILPITAS
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State | CA
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Zip | 95035-2721
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Country | US
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Telephone | 408-262-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 1683 N MILPITAS BLVD
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City | MILPITAS
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State | CA
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Zip | 95035-2721
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Country | US
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Telephone | 408-262-1029
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. THUY-KHANH KATHERINE PHAM
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Credential | DC
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Telephone | 408-262-1029
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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 | DC 25609
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License Number State | CA
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