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General NPI Number Information
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NPI Number | 1063371037
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Entity Type | Organization
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Legal Business Name | STONEBERGER PERFORMANCE AND FAMILY CARE LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 1314 W 11TH ST STE A
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City | COFFEYVILLE
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State | KS
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Zip | 67337-3627
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Country | US
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Telephone | 620-203-2579
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 W 11TH ST STE A
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City | COFFEYVILLE
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State | KS
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Zip | 67337-3627
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Country | US
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Telephone | 620-203-2579
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACOB STONEBERGER
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Credential | D.C.
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Telephone | 785-914-9365
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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 |
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License Number State |
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