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General NPI Number Information
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NPI Number | 1053601187
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Entity Type | Individual
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Provider Name | STEPHANIE ELLEN SCHIFF DC,DCN,FACACN,LLC
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Gender | Female
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 27 GLEN RD SUITE 444
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City | SANDY HOOK
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State | CT
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Zip | 06482-1193
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Country | US
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Telephone | 203-451-4520
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Fax |
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Provider Business Mailing Address
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Address Line | 7 WILLIAMS LN
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City | NEWTOWN
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State | CT
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Zip | 06470-1816
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Country | US
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Telephone | 203-304-7019
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Fax |
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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 | 001855
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License Number State | CT
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