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General NPI Number Information
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NPI Number | 1003863515
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Entity Type | Individual
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Provider Name | STEPHEN B. BITTIKER D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7135 STATE ROAD 52 SUITE 304
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City | BAYONET POINT
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State | FL
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Zip | 34667-6782
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Country | US
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Telephone | 727-868-8770
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Fax | 727-869-0302
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Provider Business Mailing Address
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Address Line | 7135 STATE ROAD 52 SUITE 304
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City | BAYONET POINT
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State | FL
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Zip | 34667-6782
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Country | US
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Telephone | 727-868-8770
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Fax | 727-869-0302
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CH0002359
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License Number State | FL
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