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General NPI Number Information
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NPI Number | 1144618596
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Entity Type | Organization
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Legal Business Name | L.C. STUBBLEFIELD FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 870 W ONSTOTT FRONTAGE RD STE G
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City | YUBA CITY
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State | CA
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Zip | 95991-3500
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Country | US
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Telephone | 530-674-2803
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Fax | 530-674-2859
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Provider Business Mailing Address
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Address Line | 870 W ONSTOTT FRONTAGE RD STE G
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City | YUBA CITY
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State | CA
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Zip | 95991-3500
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Country | US
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Telephone | 530-674-2803
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Fax | 530-674-2859
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Authorized Official
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Title or Position | PRESIDEN-TREASURER
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Name | DR. LEWIS C. STUBBLEFIELD
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Credential | D.C.
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Telephone | 530-674-2803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 016547
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License Number State | CA
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