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General NPI Number Information
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NPI Number | 1073140489
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Entity Type | Organization
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Legal Business Name | WEBER SPINE AND JOINT
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 2602 N 400 E
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2243
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Country | US
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Telephone | 801-710-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 332 W 3275 N
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City | PLEASANT VIEW
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State | UT
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Zip | 84414-1504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUSTIN STEVENSON
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Credential | DC
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Telephone | 801-710-8081
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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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