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General NPI Number Information
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NPI Number | 1912055195
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Entity Type | Individual
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Provider Name | STEPHEN V SUM JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 20406 REDWOOD RD D
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-4317
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Country | US
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Telephone | 510-538-1111
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Fax | 510-538-1040
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Provider Business Mailing Address
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Address Line | 15520 ROCKFIELD BLVD A200
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City | IRVINE
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State | CA
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Zip | 92618-6705
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Country | US
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Telephone | 949-598-9999
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Fax | 949-598-9990
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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 | 18971
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License Number State | CA
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