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General NPI Number Information
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NPI Number | 1770780785
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Entity Type | Individual
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Provider Name | STUART BROOKS HOLIFIELD III D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1160 BLALOCK RD
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City | HOUSTON
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State | TX
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Zip | 77055-7421
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Country | US
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Telephone | 713-468-1272
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Fax | 179-980-3905
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Provider Business Mailing Address
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Address Line | 3910 FAIRMONT PKWY # 321
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City | PASADENA
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State | TX
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Zip | 77504-3076
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Country | US
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Telephone | 832-264-5425
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Fax | 713-468-1830
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 10657
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License Number State | TX
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