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General NPI Number Information
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NPI Number | 1215728563
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Entity Type | Individual
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Provider Name | ZACHARY ALAN TIEMEYER DC
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Gender | Male
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2655 TEXAS HIGHWAY 11 E STE D
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-7732
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Country | US
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Telephone | 903-440-4713
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Fax | 903-865-5670
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Provider Business Mailing Address
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Address Line | 2655 TEXAS HIGHWAY 11 E STE D
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-7732
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Country | US
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Telephone | 903-440-4713
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Fax | 903-865-5670
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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 | 16484
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License Number State | TX
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