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General NPI Number Information
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NPI Number | 1639220767
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Entity Type | Organization
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Legal Business Name | STONE CHIROPRACTIC CENTER P.C.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 9001 MILLER RD STE 4
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-1115
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Country | US
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Telephone | 810-635-8428
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Fax | 810-635-4626
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Provider Business Mailing Address
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Address Line | 9001 MILLER RD. STE 4
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-1115
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Country | US
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Telephone | 810-635-8428
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Fax | 810-635-4626
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS CORNELIUS STONE
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Credential | D.C.
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Telephone | 810-635-8428
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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 | 2301003092
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License Number State | MI
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