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General NPI Number Information
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NPI Number | 1871448035
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Entity Type | Organization
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Legal Business Name | TCR CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 625 PARKVIEW DR STE 103
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City | ROANOKE
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State | TX
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Zip | 76262-4204
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Country | US
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Telephone | 815-474-8627
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Fax | 815-474-8627
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Provider Business Mailing Address
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Address Line | 625 PARKVIEW DR STE 103
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City | ROANOKE
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State | TX
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Zip | 76262-4204
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Country | US
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Telephone | 815-474-8627
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Fax | 815-474-8627
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | ROBERT B DEEVERS
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Credential | DEEVERS
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Telephone | 815-474-8627
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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 |
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License Number State |
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