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NPI 1144330036

NPI 1144330036 : SHAWN WHERRY D.C. : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1144330036
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    Entity Type          |    Individual 
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    Provider Name        |    SHAWN WHERRY D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    02/11/2020
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Provider Practice Location Address
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    Address Line         |    34406 N. 27TH DR., BLDG. 6 SUITE 116
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85085
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    Country              |    US
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    Telephone            |    623-266-0035
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    Fax                  |    623-321-6161
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Provider Business Mailing Address
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    Address Line         |    43615 N ERICSON LN 
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    City                 |    NEW RIVER
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    State                |    AZ
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    Zip                  |    85087-6142
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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       |    5810
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    License Number State |    AZ
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