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Individual
THAD NATHAN DIEHL
Active
Individual
THAD NATHAN DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009168
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010002500001
—
PA
01
—
DI1608783
BLUE CROSS BLUE SHIELD
PA
Enumeration date
07/22/2005
Last updated
01/26/2021
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