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General NPI Number Information
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NPI Number | 1215229869
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Entity Type | Organization
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Legal Business Name | STEPHEN W. ELDER D.C.ACHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 2020 NILES ST
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City | BAKERSFIELD
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State | CA
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Zip | 93305-5006
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Country | US
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Telephone | 661-395-1406
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Fax | 661-395-1179
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Provider Business Mailing Address
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Address Line | PO BOX 6248
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City | BAKERSFIELD
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State | CA
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Zip | 93386-6248
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Country | US
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Telephone | 661-395-1406
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Fax | 661-395-1179
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Authorized Official
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Title or Position | PRES/TRES
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Name | DR. STEPHEN W. ELDER
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Credential | D.C.
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Telephone | 661-395-1406
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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 | DC013507
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License Number State | CA
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