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General NPI Number Information
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NPI Number | 1831547371
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Entity Type | Organization
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Legal Business Name | ROBERT B THOMA DC PC
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 2244 SUNSTATES CT #104
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1552
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Country | US
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Telephone | 757-481-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 2244 SUNSTATES CT #104
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1552
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Country | US
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Telephone | 757-481-5444
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | ROBERT B. THOMA
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Credential | D.C.
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Telephone | 757-481-5444
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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 | 0104000576
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License Number State | VA
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