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General NPI Number Information
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NPI Number | 1255490298
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Entity Type | Organization
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Legal Business Name | THOMAS P POOL
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2403 SANTA FE DR SUITE #7
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City | PUEBLO
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State | CO
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Zip | 81006-1497
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Country | US
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Telephone | 719-543-7894
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Fax | 719-546-2833
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Provider Business Mailing Address
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Address Line | 2403 SANTA FE DR SUITE #7
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City | PUEBLO
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State | CO
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Zip | 81006-1497
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Country | US
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Telephone | 719-543-7894
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Fax | 719-546-2833
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. THOMAS PHILIP POOL
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Credential | D.C.
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Telephone | 719-543-7894
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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 |
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License Number State |
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