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General NPI Number Information
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NPI Number | 1447447222
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Entity Type | Organization
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Legal Business Name | THOMAS & WILLHITE CHIROPRACTIC CLINIC, LTD.
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3713 CALUMET AVE
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City | MANITOWOC
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State | WI
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Zip | 54220-5433
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Country | US
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Telephone | 920-682-6680
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Fax | 920-682-6983
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Provider Business Mailing Address
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Address Line | 3713 CALUMET AVE
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City | MANITOWOC
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State | WI
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Zip | 54220-5433
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Country | US
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Telephone | 920-682-6680
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Fax | 920-682-6983
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEAN ALLEN WILLHITE
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Credential | D.C.,D.A.B.C.I.
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Telephone | 920-682-6680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | WI
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