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General NPI Number Information
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NPI Number | 1578698684
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Entity Type | Organization
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Legal Business Name | STEPHEN M. TEPPER D.C.P.C.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 37672 PROFESSIONAL CENTER DR
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City | LIVONIA
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State | MI
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Zip | 48154-1154
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Country | US
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Telephone | 734-464-9595
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Fax | 734-464-3518
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Provider Business Mailing Address
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Address Line | 37672 PROFESSIONAL CENTER DR
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City | LIVONIA
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State | MI
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Zip | 48154-1154
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN TEPPER
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Credential |
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Telephone | 734-464-9595
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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 | 2301002829
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License Number State | MI
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