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General NPI Number Information
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NPI Number | 1396806220
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Entity Type | Individual
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Provider Name | STEVEN MICHAEL VIOLA D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 487N. BARDSTOWN ROAD
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City | MT.WASHINGTON
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State | KY
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Zip | 40047
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Country | US
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Telephone | 502-955-9111
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Fax | 502-955-9111
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Provider Business Mailing Address
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Address Line | 13100 TRUMP AVE
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City | LOUISVILLE
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State | KY
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Zip | 40299-8354
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Country | US
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Telephone | 502-240-0884
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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 | 4171
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License Number State | KY
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