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NPI 1568973386

NPI 1568973386 : CLAYTON JAMES SCHUELKE DC : CYPRESS, CA

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General NPI Number Information
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    NPI Number           |    1568973386
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    Entity Type          |    Individual 
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    Provider Name        |    CLAYTON JAMES SCHUELKE DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/19/2017
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    Last Update Date     |    03/29/2024
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Provider Practice Location Address
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    Address Line         |    5836 CORPORATE AVE STE 120 
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    City                 |    CYPRESS
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    State                |    CA
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    Zip                  |    90630-4751
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    Country              |    US
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    Telephone            |    714-229-3660
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5836 CORPORATE AVE STE 120 
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    City                 |    CYPRESS
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    State                |    CA
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    Zip                  |    90630-4742
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    Country              |    US
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    Telephone            |    714-229-3660
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    Fax                  |    714-229-3663
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111NS0005X
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    Taxonomy Name        |    Sports Physician Chiropractor
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    License Number       |    34046
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    License Number State |    CA
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