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General NPI Number Information
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NPI Number | 1659301372
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Entity Type | Organization
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Legal Business Name | STANLEY P. HENDERSON, D.C., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 25050 PEACHLAND AVE SUITE 155
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City | NEWHALL
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State | CA
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Zip | 91321-2523
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Country | US
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Telephone | 661-254-2090
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Fax | 661-254-5665
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Provider Business Mailing Address
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Address Line | 25050 PEACHLAND AVE SUITE 155
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City | NEWHALL
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State | CA
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Zip | 91321-2523
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Country | US
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Telephone | 661-254-2090
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Fax | 661-254-5665
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Authorized Official
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Title or Position | OWNER
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Name | DR. STANLEY P. HENDERSON
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Credential | D.C.
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Telephone | 661-254-2090
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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 | DC13794
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License Number State | CA
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