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General NPI Number Information
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NPI Number | 1285174151
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Entity Type | Organization
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Legal Business Name | ROBERT L. STEVENS D.C. INC.
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 109 E MARKET ST
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City | CADIZ
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State | OH
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Zip | 43907-1213
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Country | US
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Telephone | 740-942-2290
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Fax | 740-942-2290
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Provider Business Mailing Address
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Address Line | 28803 DAHLIA DR NW
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City | ISANTI
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State | MN
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Zip | 55040-6331
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Country | US
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Telephone | 630-200-6494
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AMY MCDONNELL
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Credential |
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Telephone | 630-200-6494
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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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