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General NPI Number Information
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NPI Number | 1487244794
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Entity Type | Individual
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Provider Name | LAWANA NICOLE STEMBRIDGE DC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 10/23/2021
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Provider Practice Location Address
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Address Line | 2638 TWO NOTCH RD STE 204
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City | COLUMBIA
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State | SC
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Zip | 29204-1454
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Country | US
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Telephone | 803-380-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 2638 TWO NOTCH RD STE 204
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City | COLUMBIA
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State | SC
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Zip | 29204-1454
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Country | US
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Telephone | 803-380-2227
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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 | DC.4634
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC.4634.DC
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License Number State | SC
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