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General NPI Number Information
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NPI Number | 1437336237
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Entity Type | Organization
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Legal Business Name | SHAWN BLAD, D.C. P.A.
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1001 CROSS TIMBERS RD STE 1020
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1371
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Country | US
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Telephone | 972-355-8184
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Fax | 866-379-0490
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Provider Business Mailing Address
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Address Line | 1001 CROSS TIMBERS RD STE 1020
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1371
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Country | US
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Telephone | 972-355-8184
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Fax | 866-379-0490
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. SHAWN BLAD
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Credential | D.C.
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Telephone | 972-355-8184
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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 |
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License Number State |
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