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General NPI Number Information
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NPI Number | 1811189582
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Entity Type | Individual
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Provider Name | STEPHEN R ZABAWA D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 2831 RINGLING BLVD BUILDING A SUITE 102
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City | SARASOTA
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State | FL
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Zip | 34237-5334
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Country | US
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Telephone | 941-955-4755
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Fax | 941-955-9986
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Provider Business Mailing Address
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Address Line | 2831 RINGLING BLVD BUILDING A SUITE 102
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City | SARASOTA
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State | FL
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Zip | 34237-5334
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Country | US
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Telephone | 941-955-4755
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Fax | 941-955-9986
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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 | CH9408
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License Number State | FL
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