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General NPI Number Information
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NPI Number | 1538848254
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Entity Type | Individual
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Provider Name | STEFANO CARTER DC
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Gender | Male
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 3101 WASHINGTON ST
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City | MIDLAND
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State | MI
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Zip | 48642-3752
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Country | US
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Telephone | 989-492-0503
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Fax |
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Provider Business Mailing Address
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Address Line | 296 S 7 MILE RD
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City | LINWOOD
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State | MI
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Zip | 48634-9707
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Country | US
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Telephone | 602-813-7293
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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 | 2301401303
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License Number State | MI
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