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General NPI Number Information
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NPI Number | 1245930262
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Entity Type | Individual
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Provider Name | SHANE PETER HIERLMAIER DC
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Gender | Male
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 699 S CARTER RD UNIT 5
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City | SMYRNA
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State | DE
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Zip | 19977-7754
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Country | US
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Telephone | 302-389-8915
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CENTURIAN DR STE 104
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City | NEWARK
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State | DE
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Zip | 19713-2154
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Country | US
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Telephone | 302-365-6520
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Fax | 302-365-6167
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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 | F1-0011099
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License Number State | DE
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