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General NPI Number Information
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NPI Number | 1891962767
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Entity Type | Individual
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Provider Name | TREVOR E THOMAS D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 110 ANDREAS DR NE STE B
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City | SUGARCREEK
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State | OH
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Zip | 44681-7503
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Country | US
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Telephone | 330-852-3032
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Fax | 330-852-5012
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Provider Business Mailing Address
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Address Line | PO BOX 446
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City | SUGARCREEK
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State | OH
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Zip | 44681-0446
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Country | US
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Telephone | 330-852-3032
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Fax | 330-852-5012
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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 | 3895
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License Number State | OH
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