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General NPI Number Information
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NPI Number | 1780048082
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Entity Type | Individual
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Provider Name | THOMAS JACOB CATHELL DC
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Gender | Male
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 20915 ASHBURN RD STE 235
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City | ASHBURN
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State | VA
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Zip | 20147-5678
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Country | US
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Telephone | 724-882-5321
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Fax |
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Provider Business Mailing Address
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Address Line | 20915 ASHBURN RD STE 235
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City | ASHBURN
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State | VA
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Zip | 20147-5678
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Country | US
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Telephone | 724-882-5321
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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 | DC011147
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557343
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License Number State | VA
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