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General NPI Number Information
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NPI Number | 1679610687
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Entity Type | Organization
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Legal Business Name | KENNETH STERN CHIROPRACTIC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 13550 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-3434
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Country | US
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Telephone | 216-671-5177
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Fax |
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Provider Business Mailing Address
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Address Line | 13550 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-3434
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Country | US
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Telephone | 216-671-5177
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KENNETH HOWARD STERN
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Credential | D.C.
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Telephone | 216-476-1300
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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 | DC1864
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License Number State | OH
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