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NPI 1003094707

NPI 1003094707 : WILLIAM TREICHEL DC PLC : CRAWFORDVILLE, FL

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General NPI Number Information
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    NPI Number           |    1003094707
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM TREICHEL DC PLC 
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Dates
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    Enumeration Date     |    02/05/2008
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    Last Update Date     |    04/07/2008
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Provider Practice Location Address
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    Address Line         |    2887 CRAWFORDVILLE HWY SUITE 1
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    City                 |    CRAWFORDVILLE
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    State                |    FL
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    Zip                  |    32327-2173
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    Country              |    US
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    Telephone            |    850-926-1227
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    Fax                  |    850-926-6550
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Provider Business Mailing Address
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    Address Line         |    PO BOX 867 
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    City                 |    CRAWFORDVILLE
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    State                |    FL
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    Zip                  |    32326-0867
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    Country              |    US
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    Telephone            |    850-926-1227
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    Fax                  |    850-926-6550
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. WILLIAM R TREICHEL 
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    Credential           |    D.C.
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    Telephone            |    850-926-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    CH6050
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    License Number State |    FL
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