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General NPI Number Information
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NPI Number | 1780791624
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Entity Type | Organization
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Legal Business Name | STEVENS CHIROPRACTIC SC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1031 N 8TH ST
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City | SHEBOYGAN
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State | WI
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Zip | 53081
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Country | US
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Telephone | 920-459-9500
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Fax | 920-459-9506
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Provider Business Mailing Address
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Address Line | 1031 N 8TH ST
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4006
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Country | US
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Telephone | 920-459-9500
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Fax | 920-459-9506
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Authorized Official
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Title or Position | OWNER CHIROPRACTIC
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Name | MR. JOEL A STEVENS
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Credential | DC
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Telephone | 920-459-9500
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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 | 2740
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License Number State | WI
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