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General NPI Number Information
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NPI Number | 1235535501
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Entity Type | Organization
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Legal Business Name | TSCA,LLC
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 5424 S MEMORIAL DR BUILDING 3 SUITE C
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City | TULSA
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State | OK
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Zip | 74145-9003
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Country | US
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Telephone | 918-808-7725
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Fax |
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Provider Business Mailing Address
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Address Line | 300 N 5TH ST
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City | PONCA CITY
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State | OK
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Zip | 74601-4512
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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 | PHYSICIAN/OWNER
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Name | SCOTT T KIRKPATRICK
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Credential | D.C.
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Telephone | 918-808-7725
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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 | 3457
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License Number State | OK
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