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General NPI Number Information
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NPI Number | 1003821778
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Entity Type | Individual
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Provider Name | JEFFREY SHAWN STANDIFER D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 3314 W KIEST BLVD
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City | DALLAS
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State | TX
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Zip | 75233-2102
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Country | US
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Telephone | 214-623-0505
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Fax | 214-623-0520
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Provider Business Mailing Address
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Address Line | PO BOX 211251
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City | DALLAS
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State | TX
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Zip | 75211-4304
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Country | US
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Telephone | 214-623-0505
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Fax | 214-623-0520
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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 | 8482
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 8482
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 8482
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number | 8482
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 8482
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 8482
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 8482
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License Number State | TX
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