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General NPI Number Information
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NPI Number | 1639313588
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Entity Type | Organization
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Legal Business Name | THORNTON CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 12303 W SHADOW LAKE LN
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City | CYPRESS
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State | TX
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Zip | 77429-2823
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Country | US
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Telephone | 713-521-2003
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Fax | 713-521-2057
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Provider Business Mailing Address
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Address Line | 12303 W SHADOW LAKE LN
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City | CYPRESS
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State | TX
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Zip | 77429-2823
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Country | US
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Telephone | 713-521-2003
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Fax | 713-521-2057
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | CHADWICK THORNTON
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Credential | D.C.
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Telephone | 832-654-0170
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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 | 10470
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License Number State | TX
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