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Individual
STEPHEN P HENNESSY
Active
Individual
STEPHEN P HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AJ007824L
PA
111N00000X
Chiropractor
DC007824L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1761827
DC
—
01
—
HE1761827
BS
—
Enumeration date
06/22/2006
Last updated
07/08/2007
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