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General NPI Number Information
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NPI Number | 1922058387
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Entity Type | Organization
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Legal Business Name | TLC CHIROPRACTIC PC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 31580 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-1805
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Country | US
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Telephone | 734-664-0339
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Fax | 734-261-5109
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Provider Business Mailing Address
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Address Line | 19601 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1431
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Country | US
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Telephone | 734-664-0339
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Fax | 734-261-5109
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Authorized Official
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Title or Position | PRESIDENT TLC PC
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Name | DR. CAROL ANN FISCHER
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Credential | DC
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Telephone | 734-664-0339
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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 | 2301008361
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License Number State | MI
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