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General NPI Number Information
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NPI Number | 1982059622
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Entity Type | Organization
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Legal Business Name | JASON STEINHOUSER DC, PC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 124 MAINE ST STE 215
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City | BRUNSWICK
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State | ME
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Zip | 04011-2078
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Country | US
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Telephone | 207-729-4645
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Fax | 207-721-1189
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Provider Business Mailing Address
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Address Line | 124 MAINE ST STE 215
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City | BRUNSWICK
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State | ME
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Zip | 04011-2078
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Country | US
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Telephone | 207-729-4645
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Fax | 207-721-1189
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON STEINHOUSER
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Credential | DC
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Telephone | 207-729-4645
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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 | CR1356
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License Number State | ME
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