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General NPI Number Information
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NPI Number | 1184821324
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Entity Type | Organization
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Legal Business Name | TJC CARE INC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 314 OAK AVE
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2856
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Country | US
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Telephone | 903-439-0853
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Fax | 903-885-6581
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Provider Business Mailing Address
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Address Line | 314 OAK AVE
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2856
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Country | US
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Telephone | 903-439-0853
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Fax | 903-885-6581
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY JAMES CARDILE
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Credential | D.C.
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Telephone | 903-439-0854
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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 | 6201
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License Number State | TX
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