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General NPI Number Information
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NPI Number | 1073651600
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Entity Type | Individual
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Provider Name | STACY ANN SHULENBERGER D.C., C.C.E.P.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 10/30/2013
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Provider Practice Location Address
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Address Line | 383 DIABLO RD SUITE 112
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City | DANVILLE
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State | CA
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Zip | 94526-3452
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Country | US
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Telephone | 925-946-2518
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Fax |
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Provider Business Mailing Address
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Address Line | 383 DIABLO RD SUITE 112
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City | DANVILLE
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State | CA
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Zip | 94526-3452
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Country | US
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Telephone | 925-946-2518
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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 | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | DC28022
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC28022
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | DC28022
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License Number State | CA
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