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General NPI Number Information
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NPI Number | 1740412113
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Entity Type | Individual
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Provider Name | STEVEN KILLION D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 1097 N ROSARIO ST SUITE 101
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City | MERIDIAN
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State | ID
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Zip | 83642-8004
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Country | US
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Telephone | 208-938-1505
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Fax |
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Provider Business Mailing Address
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Address Line | 665 JOHN ADAMS PKWY
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City | IDAHO FALLS
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State | ID
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Zip | 83401-4072
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Country | US
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Telephone | 208-938-1505
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Fax |
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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 | CHIA-1377
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License Number State | ID
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