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General NPI Number Information
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NPI Number | 1669333472
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Entity Type | Organization
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Legal Business Name | THERESA PHAM DC PA
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 2561 NURSERY RD STE D
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City | CLEARWATER
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State | FL
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Zip | 33764-1783
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Country | US
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Telephone | 727-435-7806
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Fax | 727-354-7209
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Provider Business Mailing Address
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Address Line | 2561 NURSERY RD STE D
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City | CLEARWATER
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State | FL
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Zip | 33764-1783
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Country | US
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Telephone | 727-435-7806
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Fax | 727-354-7209
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. THERESA PHAM
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Credential | DC
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Telephone | 727-644-6685
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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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