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General NPI Number Information
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NPI Number | 1184463481
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Entity Type | Organization
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Legal Business Name | SHOOK CHIROPRACTIC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 903 WASHINGTON BLVD
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City | BELPRE
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State | OH
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Zip | 45714-2361
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Country | US
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Telephone | 740-262-2957
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Fax |
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Provider Business Mailing Address
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Address Line | 50639 LICKSKILLET RD
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City | REEDSVILLE
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State | OH
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Zip | 45772-9746
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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 | CEO/OWNER
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Name | RYAN SHOOK
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Credential | D.C
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Telephone | 740-262-2957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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