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General NPI Number Information
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NPI Number | 1154438018
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Entity Type | Individual
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Provider Name | THOMAS KOPSCH DC
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 750 S OLD WOODWARD AVE
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6600
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Country | US
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Telephone | 248-792-6570
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Fax | 248-792-6574
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Provider Business Mailing Address
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Address Line | 32268 WOODWARD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-0944
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Country | US
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Telephone | 248-549-0140
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Fax | 248-549-5665
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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 | TK005961
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License Number State | MI
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