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General NPI Number Information
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NPI Number | 1467462382
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Entity Type | Individual
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Provider Name | STEPHEN KIRK EDWARDS DC
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 02/26/2023
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Provider Practice Location Address
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Address Line | 6504 OLD SPRINGVILLE RD
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City | PINSON
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State | AL
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Zip | 35126-3183
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Country | US
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Telephone | 205-520-0091
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 283
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City | CLAY
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State | AL
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Zip | 35048
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Country | US
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Telephone | 205-520-0091
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Fax | 205-520-0508
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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 | 1953
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License Number State | AL
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