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General NPI Number Information
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NPI Number | 1306552963
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Entity Type | Organization
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Legal Business Name | SHIVER CHIROPRACTIC ENTERPRISES
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1503 WINCHESTER RD NE
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City | HUNTSVILLE
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State | AL
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Zip | 35811-9186
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Country | US
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Telephone | 205-276-1635
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Fax |
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Provider Business Mailing Address
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Address Line | 631 RICHARD BRANNUM CIR
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-8509
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Country | US
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Telephone | 205-276-1635
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | IAN H SHIVER
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Credential | DC
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Telephone | 205-276-1635
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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 |
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License Number State |
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