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General NPI Number Information
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NPI Number | 1215261359
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Entity Type | Organization
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Legal Business Name | TIEPERMAN HEALTH AND WELLNESS, INC.
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 6201 TECHNOLOGY DR SUITE 107
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City | FRISCO
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State | TX
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Zip | 75034-3264
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Country | US
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Telephone | 214-705-1799
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Fax |
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Provider Business Mailing Address
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Address Line | 2612 DEER HOLLOW DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-6811
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORI TIEPERMAN
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Credential | DC
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Telephone | 214-705-1799
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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 | 10184
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License Number State | TX
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