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General NPI Number Information
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NPI Number | 1407102114
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Entity Type | Organization
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Legal Business Name | SHEAFFER CHIROPRACTIC CLINIC INC.
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 5100 SILVER STAR ROAD
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City | ORLANDO
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State | FL
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Zip | 32808
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Country | US
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Telephone | 407-298-2465
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 SILVER STAR RD
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City | ORLANDO
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State | FL
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Zip | 32808-4544
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Country | US
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Telephone | 407-298-2465
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN SHEAFFER
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Credential |
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Telephone | 407-298-2465
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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 | CH5169
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License Number State | FL
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