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General NPI Number Information
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NPI Number | 1336372374
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Entity Type | Individual
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Provider Name | WILLIAM SCOTT STANGA D.C
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Gender | Male
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 1712 EYE ST, NW BASEMENT # 110
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City | WASHINGTON
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State | DC
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Zip | 20006
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Country | US
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Telephone | 202-223-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 216 ASPEN ST, NW
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City | WASHINGTON
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State | DC
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Zip | 20012
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Country | US
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Telephone | 202-570-0310
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH030086
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License Number State | DC
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