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General NPI Number Information
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NPI Number | 1104141894
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Entity Type | Organization
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Legal Business Name | STAHL CHIROPRACTIC INC
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 14120 BEACH BLVD STE 213
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City | WESTMINSTER
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State | CA
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Zip | 92683-4454
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Country | US
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Telephone | 714-269-6877
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Fax |
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Provider Business Mailing Address
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Address Line | 14120 BEACH BLVD STE 213
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City | WESTMINSTER
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State | CA
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Zip | 92683-4454
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Country | US
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Telephone | 714-269-6877
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. BARRY M STAHL
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Credential | D.C.
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Telephone | 714-269-6877
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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 | DC16885
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License Number State | CA
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