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General NPI Number Information
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NPI Number | 1316142847
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Entity Type | Organization
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Legal Business Name | GEORGE SHIRAR, DC, PSC
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1057 S BROADWAY
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City | LEXINGTON
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State | KY
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Zip | 40504-2644
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Country | US
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Telephone | 859-254-5001
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Fax | 859-255-3248
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Provider Business Mailing Address
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Address Line | 1057 S BROADWAY
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City | LEXINGTON
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State | KY
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Zip | 40504-2644
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Country | US
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Telephone | 859-254-5001
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Fax | 859-255-3248
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GEORGE SHIRAR
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Credential | DC
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Telephone | 859-254-5001
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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 | 3758
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License Number State | KY
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