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General NPI Number Information
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NPI Number | 1407858855
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Entity Type | Organization
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Legal Business Name | SCHUMACHER CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 1201 PAYNE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55130-3592
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Country | US
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Telephone | 651-776-8666
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Fax | 651-776-4190
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Provider Business Mailing Address
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Address Line | 1201 PAYNE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55130-3592
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Country | US
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Telephone | 651-776-8666
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Fax | 651-776-4190
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN RICHARD SCHUMACHER
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Credential | DC
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Telephone | 651-776-8666
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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 |
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License Number State |
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