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General NPI Number Information
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NPI Number | 1649295445
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Entity Type | Individual
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Provider Name | MITCHELL ADAM SHUCHMAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7517 CAMPBELL RD STE 606
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City | DALLAS
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State | TX
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Zip | 75248-1762
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Country | US
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Telephone | 972-930-9566
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Fax | 972-930-9710
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Provider Business Mailing Address
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Address Line | 4607 REFUGIO RD
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City | FRISCO
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State | TX
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Zip | 75034-8495
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Country | US
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Telephone | 214-794-6169
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Fax | 972-930-9710
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8863
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License Number State | TX
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