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General NPI Number Information
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NPI Number | 1588676324
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Entity Type | Organization
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Legal Business Name | THOMAS C ATWOOD DPM,PC
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 2122 9TH ST SUITE 3
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City | GREELEY
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State | CO
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Zip | 80631-3089
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Country | US
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Telephone | 970-353-5800
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Fax | 970-353-5854
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Provider Business Mailing Address
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Address Line | 2122 9TH ST SUITE 3
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City | GREELEY
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State | CO
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Zip | 80631-3089
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Country | US
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Telephone | 970-353-5800
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Fax | 970-353-5854
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS CLYDE ATWOOD
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Credential | DPM
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Telephone | 970-353-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 457
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License Number State | CO
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