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General NPI Number Information
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NPI Number | 1245428267
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Entity Type | Organization
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Legal Business Name | STEVEN J. TUTT, DC, PC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 4245 CEDAR SPRINGS RD
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City | DALLAS
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State | TX
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Zip | 75219-2691
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Country | US
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Telephone | 214-528-1900
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Fax | 214-528-1917
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Provider Business Mailing Address
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Address Line | PO BOX 191728
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City | DALLAS
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State | TX
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Zip | 75219-8505
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Country | US
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Telephone | 214-528-1900
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Fax | 214-528-1917
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Authorized Official
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Title or Position | PROPRIETOR
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Name | STEVEN J. TUTT
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Credential | D.C.
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Telephone | 214-528-1900
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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 | 4710
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License Number State | TX
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