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General NPI Number Information
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NPI Number | 1093875049
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Entity Type | Organization
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Legal Business Name | SHAFER CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2030 FREDRICKSON PL
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City | GREENSBURG
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State | PA
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Zip | 15601-9688
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Country | US
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Telephone | 724-837-4559
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Fax | 724-837-4356
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Provider Business Mailing Address
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Address Line | 1156 WINDCREST DR
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City | GREENSBURG
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State | PA
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Zip | 15601-6247
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Country | US
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Telephone | 724-837-4559
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Fax | 724-837-4356
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Authorized Official
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Title or Position | OWNER
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Name | DANA E SHAFER
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Credential | DC
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Telephone | 724-837-4559
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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 | DC006283L
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License Number State | PA
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