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General NPI Number Information
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NPI Number | 1790970127
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Entity Type | Organization
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Legal Business Name | JESSICA DAWN THOMPSON D.C., P.C.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 1020 KEN PRATT BLVD UNIT G
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City | LONGMONT
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State | CO
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Zip | 80501-6375
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Country | US
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Telephone | 303-772-8311
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Fax | 303-772-8558
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Provider Business Mailing Address
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Address Line | 1020 KEN PRATT BLVD UNIT G
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City | LONGMONT
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State | CO
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Zip | 80501-6375
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Country | US
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Telephone | 303-772-8311
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Fax | 303-772-8558
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JESSICA DAWN THOMPSON
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Credential | D.C.
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Telephone | 303-772-8311
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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 | 5988
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License Number State | CO
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