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General NPI Number Information
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NPI Number | 1841404241
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Entity Type | Organization
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Legal Business Name | DR TANYA SCHRUMPF DC INC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 2210 CHENEY HWY
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City | TITUSVILLE
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State | FL
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Zip | 32780-6702
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Country | US
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Telephone | 321-267-0188
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Fax | 321-267-0611
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Provider Business Mailing Address
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Address Line | 3206 S HOPKINS AVE SUITE 19
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City | TITUSVILLE
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State | FL
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Zip | 32780-5667
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Country | US
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Telephone | 321-267-0188
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Fax | 321-267-0611
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Authorized Official
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Title or Position | OWNER
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Name | DR. TANYA NANETTE SCHRUMPF
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Credential | D.C.
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Telephone | 321-267-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH9229
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License Number State | FL
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