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General NPI Number Information
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NPI Number | 1407013386
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Entity Type | Organization
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Legal Business Name | SHERROD CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 6530 LONETREE BLVD
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City | ROCKLIN
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State | CA
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Zip | 95765-5874
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Country | US
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Telephone | 916-797-3030
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Fax | 916-797-0505
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Provider Business Mailing Address
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Address Line | 6530 LONETREE BLVD
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City | ROCKLIN
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State | CA
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Zip | 95765-5874
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Country | US
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Telephone | 916-797-3030
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Fax | 916-797-0505
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. RONALD MICHAEL SHERROD
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Credential | DC
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Telephone | 916-797-3030
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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 | 3029
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License Number State | CA
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