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General NPI Number Information
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NPI Number | 1902500408
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Entity Type | Organization
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Legal Business Name | STEPHANIE GLOVER CHIROPRACTIC INC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 1502 N EL CAMINO REAL
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-5906
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Country | US
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Telephone | 949-498-6440
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Fax | 949-498-6441
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Provider Business Mailing Address
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Address Line | 31042 PASEO VALENCIA
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-2949
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Country | US
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Telephone | 714-271-5240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE CHEN GLOVER
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Credential | DC
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Telephone | 714-271-5240
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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 |
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License Number State |
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