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General NPI Number Information
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NPI Number | 1972601722
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Entity Type | Organization
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Legal Business Name | TCB DEVELOPMENT
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8621 COLUMBUS PIKE
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9615
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Country | US
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Telephone | 740-549-2552
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Fax | 740-549-2553
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Provider Business Mailing Address
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Address Line | 8621 COLUMBUS PIKE
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9615
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Country | US
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Telephone | 740-549-2552
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Fax | 740-549-2553
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | BRYAN R SCHUETZ
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Credential | DC
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Telephone | 740-549-2552
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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 | 2204
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License Number State | OH
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