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General NPI Number Information
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NPI Number | 1336120799
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Entity Type | Individual
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Provider Name | SHANE EVERETT PARSON DC
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Gender | Male
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 13134 VAIL RIDGE DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-7187
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Country | US
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Telephone | 813-488-6315
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Fax | 813-488-6329
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Provider Business Mailing Address
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Address Line | 10716 CHESHAM HILL CT
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City | RIVERVIEW
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State | FL
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Zip | 33579-7701
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Country | US
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Telephone | 813-410-6325
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8350
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License Number State | FL
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