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General NPI Number Information
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NPI Number | 1992728026
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Entity Type | Individual
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Provider Name | STUART KEVIN HIMMELSTEIN DC PC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3392 RED LION RD
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1224
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Country | US
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Telephone | 215-632-3074
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Fax | 215-632-3373
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Provider Business Mailing Address
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Address Line | PO BOX 321
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City | HUNTINGTON VALLEY
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State | PA
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Zip | 19006-0327
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Country | US
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Telephone | 215-632-3074
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Fax | 215-632-3373
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC006032L
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License Number State | PA
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