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General NPI Number Information
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NPI Number | 1568572956
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Entity Type | Organization
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Legal Business Name | TULARE CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1098 E CROSS AVE
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City | TULARE
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State | CA
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Zip | 93274-2925
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Country | US
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Telephone | 559-685-9391
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Fax | 559-685-0545
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Provider Business Mailing Address
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Address Line | 1098 E CROSS AVE
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City | TULARE
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State | CA
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Zip | 93274-2925
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Country | US
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Telephone | 559-685-9391
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Fax | 559-685-0545
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. STEVEN DOUGLAS MITCHELL
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Credential | D.C.
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Telephone | 559-685-9391
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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 | 22412
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License Number State | CA
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