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General NPI Number Information
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NPI Number | 1003076217
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Entity Type | Individual
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Provider Name | STEVEN B BAROODY D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 1650 ELM ST STE 301
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City | MANCHESTER
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State | NH
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Zip | 03101-1217
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Country | US
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Telephone | 603-203-3185
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Fax | 603-626-6950
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Provider Business Mailing Address
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Address Line | 1650 ELM ST STE 301
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City | MANCHESTER
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State | NH
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Zip | 03101-1217
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Country | US
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Telephone | 603-203-3185
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Fax | 603-626-6950
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 736-0105
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License Number State | NH
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