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General NPI Number Information
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NPI Number | 1366621450
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Entity Type | Organization
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Legal Business Name | THOMAS DOW, D.C., P.C.
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 535 BROADHOLLOW RD SUITE A-10
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City | MELVILLE
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State | NY
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Zip | 11747-3713
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Country | US
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Telephone | 631-249-0011
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Fax | 631-249-1793
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Provider Business Mailing Address
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Address Line | PO BOX 1535
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City | MELVILLE
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State | NY
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Zip | 11747-0535
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Country | US
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Telephone | 631-249-0011
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Fax | 631-249-1793
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. THOMAS DOW
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Credential | D.C.
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Telephone | 631-249-0011
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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 | X003728-1
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License Number State | NY
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