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General NPI Number Information
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NPI Number | 1386194918
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Entity Type | Individual
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Provider Name | SHAWN HALLIDAY DC
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Gender | Male
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 7900 EXCELSIOR BLVD STE 100
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City | HOPKINS
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State | MN
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Zip | 55343-3446
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Country | US
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Telephone | 952-931-9867
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Fax | 952-931-9868
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Provider Business Mailing Address
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Address Line | 123 3RD AVE E STE 100
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City | ALEXANDRIA
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State | MN
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Zip | 56308-1996
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Country | US
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Telephone | 320-762-0683
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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 | 6795
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License Number State | MN
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