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General NPI Number Information
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NPI Number | 1336342948
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Entity Type | Individual
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Provider Name | SHAMONICA TRUNELL D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2007
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 6701 SANGER AVE STE 104
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City | WACO
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State | TX
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Zip | 76710-7736
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Country | US
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Telephone | 254-754-4000
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Fax | 254-754-4005
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Provider Business Mailing Address
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Address Line | 6701 SANGER AVE STE 104
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City | WACO
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State | TX
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Zip | 76710-7736
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Country | US
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Telephone | 254-754-4000
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Fax | 254-754-4005
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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 | 9664
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License Number State | TX
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