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General NPI Number Information
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NPI Number | 1275876807
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Entity Type | Organization
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Legal Business Name | SEBASTIAN CHIROPRACTIC PA
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 13250 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3750
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Country | US
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Telephone | 772-388-1148
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Fax | 866-729-4503
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Provider Business Mailing Address
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Address Line | 13250 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3750
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Country | US
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Telephone | 772-388-1148
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Fax | 866-729-4503
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFF STEPANEK
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Credential | DC
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Telephone | 772-388-1148
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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 |
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License Number State |
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