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General NPI Number Information
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NPI Number | 1396763090
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Entity Type | Organization
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Legal Business Name | STEPHEN W SMITH CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 8821 VALLEY VIEW ST
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City | BUENA PARK
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State | CA
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Zip | 90620
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Country | US
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Telephone | 714-527-3332
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Fax | 714-527-3313
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Provider Business Mailing Address
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Address Line | 8821 VALLEY VIEW ST
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City | BUENA PARK
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State | CA
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Zip | 90620
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Country | US
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Telephone | 714-527-3332
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Fax | 714-527-3313
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Authorized Official
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Title or Position | OWNER/DC
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Name | MR. STEPHEN W SMITH
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Credential | DC
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Telephone | 714-527-3332
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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 | DC14243
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License Number State | CA
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