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General NPI Number Information
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NPI Number | 1336118827
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Entity Type | Individual
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Provider Name | DAVID RILEY THOMSEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 1400 HAVENDALE BLVD NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881-5302
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Country | US
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Telephone | 863-294-3109
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Fax | 863-293-0078
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Provider Business Mailing Address
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Address Line | 1400 HAVENDALE BLVD NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881-5302
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Country | US
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Telephone | 863-294-3109
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Fax | 863-293-0078
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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 | CH 7537
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License Number State | FL
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