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General NPI Number Information
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NPI Number | 1396022794
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Entity Type | Organization
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Legal Business Name | T3 SOLUTIONS INCORPORATED
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 4164 WEST COUNTY HWY 30A
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459
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Country | US
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Telephone | 850-622-2313
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Fax | 850-622-2718
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Provider Business Mailing Address
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Address Line | 4164 WEST COUNTY HWY 30A
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459
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Country | US
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Telephone | 850-622-2313
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Fax | 850-622-2718
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Authorized Official
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Title or Position | CEO
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Name | MR. SCOTT THURSTON
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Credential | DC
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Telephone | 850-622-2313
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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 | CH8446
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License Number State | FL
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