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General NPI Number Information
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NPI Number | 1730479155
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Entity Type | Organization
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Legal Business Name | STEPHEN J CHIARELLO LTD
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 2815 S JONES BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89146-5307
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Country | US
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Telephone | 702-362-6303
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Fax | 702-362-6607
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Provider Business Mailing Address
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Address Line | 2815 S JONES BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89146-5307
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Country | US
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Telephone | 702-362-6303
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Fax | 702-362-6607
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STEPHEN J CHIARELLO
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Credential | DC
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Telephone | 702-362-6303
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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 | 1000050-205
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License Number State | NV
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