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General NPI Number Information
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NPI Number | 1811285794
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Entity Type | Organization
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Legal Business Name | STEVE T LEMASTER DC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 614 S WALL AVE SUITE3
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City | JOPLIN
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State | MO
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Zip | 64801-2526
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Country | US
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Telephone | 417-782-2243
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Fax | 417-782-3059
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Provider Business Mailing Address
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Address Line | 614 S WALL AVE SUITE3
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City | JOPLIN
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State | MO
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Zip | 64801-2526
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Country | US
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Telephone | 417-782-2243
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Fax | 417-782-3059
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN T LEMASTER
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Credential | D.C.
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Telephone | 417-782-2243
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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 | 004370
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License Number State | MO
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