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General NPI Number Information
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NPI Number | 1306740352
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Entity Type | Organization
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Legal Business Name | THE SHOCK DOC INC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 559 W STATE RD
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2111
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Country | US
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Telephone | 801-922-4310
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Fax | 801-701-8850
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Provider Business Mailing Address
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Address Line | 559 W STATE RD
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2111
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Country | US
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Telephone | 801-922-4310
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Fax | 801-701-8850
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Authorized Official
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Title or Position | CHIROPRACTOR, OWNER
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Name | DR. JACOB KNAPTON
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Credential | DC
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Telephone | 801-440-1499
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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 | NULL
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