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General NPI Number Information
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NPI Number | 1922822881
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Entity Type | Organization
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Legal Business Name | DOTSON STEVENS ENTERPRISES, INC.
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2210 HOLLY SPRINGS PKWY STE 100
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City | HOLLY SPRINGS
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State | GA
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Zip | 30115-9013
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Country | US
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Telephone | 770-820-6912
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Fax |
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Provider Business Mailing Address
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Address Line | 208 CEDAR WOODS WAY
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City | CANTON
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State | GA
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Zip | 30114-6696
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Country | US
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Telephone | 770-820-6912
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVEN BERNARD MCCLURE
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Credential |
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Telephone | 770-820-6912
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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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