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General NPI Number Information
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NPI Number | 1992426068
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Entity Type | Organization
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Legal Business Name | STEADFAST HEALTH PROFESSIONAL INC.
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 628 NW 23RD ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-1416
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Country | US
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Telephone | 405-493-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 628 NW 23RD ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-1416
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Country | US
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Telephone | 405-493-9878
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HUNTER DENTON
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Credential | DC
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Telephone | 405-493-9878
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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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