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General NPI Number Information
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NPI Number | 1750706891
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Entity Type | Individual
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Provider Name | BRYAN STEPHENS D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 6200 ELDORADO PKWY STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-8792
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Country | US
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Telephone | 972-529-9911
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Fax | 972-529-9419
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Provider Business Mailing Address
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Address Line | 645 CLEARWOOD DR
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City | RICHARDSON
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State | TX
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Zip | 75081-4810
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Country | US
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Telephone | 214-385-0857
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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 | 12528
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License Number State | TX
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