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General NPI Number Information
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NPI Number | 1316942147
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Entity Type | Individual
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Provider Name | JAMES LEO SHOEMAKER DC, CCSP
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 1013B WEST JUDGE PEREZ DRIVE
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City | CHALMETTE
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State | LA
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Zip | 70043
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Country | US
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Telephone | 504-271-6500
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Fax | 504-279-7778
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Provider Business Mailing Address
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Address Line | 205/206 HIGHPOINT DRIVE
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City | DIAMONDHEAD
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State | MS
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Zip | 39525
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Country | US
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Telephone | 985-710-2644
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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 | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 684
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 684
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 684
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 684
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 684
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License Number State | LA
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