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General NPI Number Information
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NPI Number | 1700966389
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Entity Type | Organization
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Legal Business Name | HAMPSTEAD CHIROPRACTIC OFFICE, P.L.L.C.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 472 STATE ROUTE 111
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City | HAMPSTEAD
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State | NH
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Zip | 03841-2371
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Country | US
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Telephone | 603-329-9333
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Fax | 603-329-5090
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Provider Business Mailing Address
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Address Line | 472 STATE ROUTE 111
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City | HAMPSTEAD
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State | NH
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Zip | 03841-2371
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Country | US
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Telephone | 603-329-9333
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Fax | 603-329-5090
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. STEPHEN LLOYD SHIELDS
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Credential | D.C.
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Telephone | 603-329-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 035-0790
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License Number State | NH
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