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General NPI Number Information
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NPI Number | 1992157051
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Entity Type | Organization
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Legal Business Name | STANFIELD CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 567 SILVER CREEK DR
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City | DOYLESTOWN
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State | OH
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Zip | 44230-1163
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Country | US
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Telephone | 386-871-6925
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Fax |
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Provider Business Mailing Address
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Address Line | 567 SILVER CREEK DR
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City | DOYLESTOWN
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State | OH
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Zip | 44230-1163
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Country | US
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Telephone | 386-871-6925
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAREK STANFIELD
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Credential | D.C.
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Telephone | 386-871-6925
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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 | 4632
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License Number State | OH
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