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NPI 1508732462

NPI 1508732462 : MELONY THOMAS CHIROPRACTIC CENTERS : BUNNELL, FL

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General NPI Number Information
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    NPI Number           |    1508732462
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    Entity Type          |    Organization 
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    Legal Business Name  |    MELONY THOMAS CHIROPRACTIC CENTERS 
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Dates
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    Enumeration Date     |    10/16/2025
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    Last Update Date     |    10/16/2025
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Provider Practice Location Address
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    Address Line         |    4601 E MOODY BLVD STE G4 
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    City                 |    BUNNELL
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    State                |    FL
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    Zip                  |    32110-9002
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    Country              |    US
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    Telephone            |    386-437-9990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    39 BRONSON LN 
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    City                 |    PALM COAST
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    State                |    FL
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    Zip                  |    32137-8726
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    Country              |    US
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    Telephone            |    386-631-6211
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MELONY K THOMAS 
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    Credential           |    DC
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    Telephone            |    386-631-6211
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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       |    
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    License Number State |    
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