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General NPI Number Information
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NPI Number | 1467611459
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL THOMAS D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 1726 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7604
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Country | US
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Telephone | 602-222-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 5332 E BASELINE RD UNIT 2092
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City | MESA
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State | AZ
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Zip | 85206-4717
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Country | US
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Telephone | 602-920-3764
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Fax |
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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 | 7915
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License Number State | AZ
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