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General NPI Number Information
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NPI Number | 1467714550
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Entity Type | Organization
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Legal Business Name | STEVEN ELSEA CHIROPRACTIC, INC
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 605 OAK ST
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City | ROSEVILLE
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State | CA
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Zip | 95678-3224
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Country | US
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Telephone | 916-784-3303
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Fax | 866-350-6202
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Provider Business Mailing Address
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Address Line | 605 OAK ST
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City | ROSEVILLE
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State | CA
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Zip | 95678-3224
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Country | US
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Telephone | 916-784-3303
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Fax | 866-350-6202
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN W. ELSEA
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Credential | DC
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Telephone | 916-784-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | DC18085
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License Number State | CA
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