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General NPI Number Information
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NPI Number | 1659464436
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Entity Type | Individual
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Provider Name | THOMAS J STELTER D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1747 EVANS RD 101
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City | MELBOURNE
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State | FL
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Zip | 32904-3869
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Country | US
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Telephone | 321-951-9222
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Fax | 321-952-1187
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Provider Business Mailing Address
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Address Line | 170 TWILIGHT ST NE
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City | PALM BAY
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State | FL
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Zip | 32907-1150
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Country | US
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Telephone | 321-956-6678
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Fax | 321-952-1187
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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 | CH5847
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License Number State | FL
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