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General NPI Number Information
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NPI Number | 1255585402
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Entity Type | Individual
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Provider Name | SHAWN ROBIN ALLEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 2126 N EAGLE RD #120
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City | MERIDIAN
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State | ID
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Zip | 83646-6405
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Country | US
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Telephone | 208-391-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 N EAGLE RD #120
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City | MERIDIAN
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State | ID
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Zip | 83646-6405
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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 | CHIA-1696
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License Number State | ID
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