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General NPI Number Information
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NPI Number | 1346508553
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Entity Type | Individual
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Provider Name | RENNEIL KIRKPATRICK SHERMAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 7128 W MCNAB RD
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City | TAMARAC
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State | FL
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Zip | 33321-5306
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Country | US
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Telephone | 954-720-3002
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Fax | 954-720-3004
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Provider Business Mailing Address
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Address Line | 7128 W MCNAB RD
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City | TAMARAC
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State | FL
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Zip | 33321-5306
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Country | US
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Telephone | 517-862-8848
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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 | CH10563
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License Number State | FL
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