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General NPI Number Information
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NPI Number | 1548442676
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Entity Type | Organization
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Legal Business Name | TECUMSEH CHIROPRACTIC CENTER, INCORPORATED
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 402 EAST CHICAGO BLVD.
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City | TECUMSEH
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State | MI
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Zip | 49286
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Country | US
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Telephone | 517-423-7414
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Fax | 517-423-7415
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Provider Business Mailing Address
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Address Line | PO BOX 59
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City | TECUMSEH
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State | MI
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Zip | 49286
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Country | US
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Telephone | 517-423-7414
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Fax | 517-423-7415
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Authorized Official
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Title or Position | OWNER
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Name | DR. CALVIN J. TUTTLE
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Credential | D.C.
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Telephone | 517-423-7414
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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 | 2301004075
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License Number State | MI
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