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General NPI Number Information
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NPI Number | 1770732554
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Entity Type | Organization
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Legal Business Name | T.S.C.C. INC
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 608 ELM ST
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City | WAMEGO
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State | KS
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Zip | 66547-1624
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Country | US
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Telephone | 785-844-1144
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Fax | 785-537-2573
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Provider Business Mailing Address
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Address Line | 608 ELM ST
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City | WAMEGO
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State | KS
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Zip | 66547-1624
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Country | US
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Telephone | 785-844-1144
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Fax | 785-537-2573
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THAD A SCHNEIDER
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Credential |
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Telephone | 785-844-1144
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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 | 0105152
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License Number State | KS
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