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General NPI Number Information
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NPI Number | 1427475680
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Entity Type | Individual
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Provider Name | GREGORY STERN DC, LAC
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Gender | Male
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 555 MASON AVE
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City | CAPE CHARLES
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State | VA
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Zip | 23310-3301
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Country | US
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Telephone | 757-695-3840
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Fax |
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Provider Business Mailing Address
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Address Line | 555 MASON AVE
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City | CAPE CHARLES
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State | VA
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Zip | 23310-3301
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Country | US
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Telephone | 757-695-3840
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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 | 0104557141
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0104557141
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License Number State | VA
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