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General NPI Number Information
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NPI Number | 1366553000
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Entity Type | Individual
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Provider Name | HOWARD LEE STICH III DC
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4242 MEDICAL DR SUITE 5100
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5640
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Country | US
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Telephone | 210-614-4400
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Fax | 210-614-4477
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Provider Business Mailing Address
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Address Line | 9007 TINTAGEL ST
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City | SAN ANTONIO
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State | TX
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Zip | 78254-2046
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Country | US
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Telephone | 210-680-2254
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Fax | 210-928-8997
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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 | 24763
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 6915
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License Number State | TX
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