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General NPI Number Information
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NPI Number | 1326226119
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Entity Type | Organization
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Legal Business Name | PORT CITY CHIROPRACTIC P.L.L.C.
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 10 VAUGHAN MALL SUITE 15
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4047
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Country | US
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Telephone | 603-433-2447
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Fax | 603-433-6447
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Provider Business Mailing Address
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Address Line | 10 VAUGHAN MALL STE 211
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4047
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Country | US
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Telephone | 603-433-2447
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Fax | 603-433-6447
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SHAWN DAVID SHAPIRO
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Credential | D.C.
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Telephone | 603-433-2447
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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 | 708-1103
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License Number State | NH
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