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General NPI Number Information
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NPI Number | 1023426996
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Entity Type | Organization
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Legal Business Name | STONE CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 01/10/2016
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Provider Practice Location Address
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Address Line | 3222 S VANCE ST SUITE 220
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City | LAKEWOOD
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State | CO
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Zip | 80227-5021
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Country | US
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Telephone | 402-710-1682
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Fax |
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Provider Business Mailing Address
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Address Line | 3222 S VANCE ST SUITE 220
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City | LAKEWOOD
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State | CO
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Zip | 80227-5021
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Country | US
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Telephone | 402-710-1682
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR OF CHIROPRACTIC
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Name | DR. CARRIE SUE STONE
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Credential | D.C.
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Telephone | 402-710-1682
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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 | CHR.0007162
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License Number State | CO
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