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General NPI Number Information
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NPI Number | 1902120405
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Entity Type | Organization
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Legal Business Name | STEPHEN E KEDING D C INC
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 360 28TH ST
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City | BELLAIRE
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State | OH
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Zip | 43906-1789
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Country | US
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Telephone | 740-676-2691
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Fax | 740-676-2702
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Provider Business Mailing Address
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Address Line | 360 28TH STREET
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City | BELLAIRE
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State | OH
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Zip | 43906
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Country | US
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Telephone | 740-676-2691
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Fax | 740-676-2702
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. STEPHEN E KEDING
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Credential | D.C.
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Telephone | 740-676-2691
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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 | 1963
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License Number State | OH
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