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General NPI Number Information
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NPI Number | 1942546775
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Entity Type | Individual
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Provider Name | ZACHARY EDWIN THOMLINSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 11024 C ST S
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City | TACOMA
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State | WA
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Zip | 98444-5706
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Country | US
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Telephone | 253-365-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 13316 108TH AVE E
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City | PUYALLUP
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State | WA
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Zip | 98374-5614
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Country | US
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Telephone | 253-365-2001
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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 | CH60307484
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License Number State | WA
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