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Individual
DR. PAUL TYMCHENKO
Active
Individual
DR. PAUL TYMCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S2092
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11179826
CAQH
MD
01
—
615844
CAREFIRST
MD
Enumeration date
07/14/2005
Last updated
06/16/2015
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