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General NPI Number Information
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NPI Number | 1134302730
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Entity Type | Organization
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Legal Business Name | STEVEN E JOHNSON DC SC
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 14530 W CAPITOL DR
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City | BROOKFIELD
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State | WI
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Zip | 53005
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Country | US
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Telephone | 262-781-7540
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Fax | 262-781-7540
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Provider Business Mailing Address
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Address Line | 14530 W CAPITOL DR
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City | BROOKFIELD
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State | WI
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Zip | 53005
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Country | US
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Telephone | 262-781-7540
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Fax | 262-781-7540
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. STEVEN EDWARD JOHNSON
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Credential | DC
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Telephone | 262-781-7540
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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 | 1477
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License Number State | WI
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