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General NPI Number Information
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NPI Number | 1972149557
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Entity Type | Organization
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Legal Business Name | STOCK CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 2102 S DEFIO PL
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City | MERIDIAN
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State | ID
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Zip | 83642-5764
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Country | US
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Telephone | 307-461-9844
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Fax |
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Provider Business Mailing Address
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Address Line | 18124 WEDGE PKWY # 992
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City | RENO
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State | NV
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Zip | 89511-8134
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Country | US
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Telephone | 307-461-9844
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Fax |
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Authorized Official
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Title or Position | DOCTOR / OWNER
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Name | KATHERINE STOCK
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Credential | DC
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Telephone | 307-461-9844
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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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