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General NPI Number Information
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NPI Number | 1487034898
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Entity Type | Organization
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Legal Business Name | STEVENS CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 05/27/2016
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Provider Practice Location Address
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Address Line | 8 COURT HOUSE SOUTH DENNIS RD
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-1967
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Country | US
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Telephone | 609-463-4590
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Fax | 609-463-4591
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Provider Business Mailing Address
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Address Line | 8 COURT HOUSE SOUTH DENNIS ROAD
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-3134
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Country | US
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Telephone | 609-463-4590
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Fax | 609-463-4591
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SHEILA ISABELLA STEVENS
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Credential | D.C,
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Telephone | 609-638-6181
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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 | 38MC00560300
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License Number State | NJ
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