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General NPI Number Information
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NPI Number | 1639110984
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Entity Type | Individual
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Provider Name | SHARON DENISE STAFFORD D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 2840 KELLER SPRINGS RD STE 301
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City | CARROLLTON
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State | TX
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Zip | 75006-4849
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Country | US
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Telephone | 972-418-5150
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Fax | 972-416-6827
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Provider Business Mailing Address
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Address Line | 2006 OXFORD CIR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75051-3747
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Country | US
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Telephone | 972-352-5315
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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 | 9439
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License Number State | TX
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