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General NPI Number Information
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NPI Number | 1891967469
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Entity Type | Organization
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Legal Business Name | FIELD HEATHCARE MANAGEMENT, INC.
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 1820 SAVANNAH HWY SUITE A1
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City | CHARLESTON
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State | SC
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Zip | 29407-6276
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Country | US
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Telephone | 843-766-5112
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Fax | 843-766-5123
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Provider Business Mailing Address
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Address Line | 1820 SAVANNAH HWY SUITE A1
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City | CHARLESTON
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State | SC
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Zip | 29407-6276
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Country | US
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Telephone | 843-766-5112
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Fax | 843-766-5123
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ROBERT STUBBLEFIELD
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Credential |
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Telephone | 843-766-5112
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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 | 811/2904
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License Number State | SC
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