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General NPI Number Information
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NPI Number | 1760545149
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Entity Type | Individual
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Provider Name | THOMAS J MOREHEAD JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2281 S 67TH ST
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City | OMAHA
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State | NE
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Zip | 68106-2809
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Country | US
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Telephone | 402-331-0392
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Fax |
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Provider Business Mailing Address
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Address Line | 5002 S 24TH ST STE 200
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City | OMAHA
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State | NE
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Zip | 68107-2754
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Country | US
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Telephone | 402-339-2283
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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 | 1359
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License Number State | NE
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