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General NPI Number Information
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NPI Number | 1306801873
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Entity Type | Organization
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Legal Business Name | BOU & THOMPSON FAMILY CHIROPRACTIC CARE PLLC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 242 JERICHO TPKE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2147
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Country | US
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Telephone | 516-328-9015
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Fax | 516-488-9865
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Provider Business Mailing Address
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Address Line | 242 JERICHO TPKE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2147
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Country | US
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Telephone | 516-328-9015
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Fax | 516-488-9865
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Authorized Official
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Title or Position | MEMBER OF PLLC
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Name | DR. JENNIFER MELISSA THOMPSON
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Credential | DC
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Telephone | 516-328-9015
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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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