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General NPI Number Information
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NPI Number | 1588603294
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Entity Type | Individual
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Provider Name | TERRENCE THOMAS D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 23610 BAR 10 WAY
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City | CALHAN
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State | CO
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Zip | 80808-8557
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Country | US
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Telephone | 719-683-3497
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Fax |
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Provider Business Mailing Address
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Address Line | 23610 BAR 10 WAY
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City | CALHAN
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State | CO
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Zip | 80808-8557
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Country | US
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Telephone | 719-683-3497
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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 | CHR0006071
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License Number State | CO
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