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General NPI Number Information
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NPI Number | 1114811288
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Entity Type | Organization
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Legal Business Name | O'NEILL CHIROPRACTIC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 3975 DICK POND RD
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-6800
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Country | US
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Telephone | 843-650-3232
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Fax | 843-650-9877
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Provider Business Mailing Address
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Address Line | 3975 DICK POND RD
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-6800
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Country | US
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Telephone | 843-650-3232
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Fax | 843-650-9877
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. TYLER J STYCHE
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Credential |
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Telephone | 412-877-8688
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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 |
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License Number State |
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