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General NPI Number Information
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NPI Number | 1316064520
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Entity Type | Organization
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Legal Business Name | CLAY THOMAS CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29819 SANTA MARGARITA PKWY STE 100 C
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-3620
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Country | US
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Telephone | 949-589-0526
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Fax |
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Provider Business Mailing Address
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Address Line | 29819 SANTA MARGARITA PKWY STE 100 C
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-3620
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Country | US
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Telephone | 949-589-0526
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLAY C THOMAS
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Credential | D.C.
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Telephone | 949-589-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC30289
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License Number State | CA
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