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General NPI Number Information
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NPI Number | 1811191125
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Entity Type | Individual
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Provider Name | MARK STEVEN TEJAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 4012 JORDAN STREET
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City | SOUTH HEIGHTS
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State | PA
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Zip | 15081
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Country | US
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Telephone | 724-375-5534
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Fax | 724-375-5575
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Provider Business Mailing Address
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Address Line | 4012 JORDAN STREET BOX 420
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City | SOUTH HEIGHTS
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State | PA
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Zip | 15081-0420
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Country | US
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Telephone | 724-375-5534
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Fax | 724-375-5575
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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 | DC003643L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | AJ003643
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License Number State | PA
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