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General NPI Number Information
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NPI Number | 1447675855
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Entity Type | Individual
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Provider Name | AMY M SHU D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 8007 N POINT BLVD STE B
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3268
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Country | US
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Telephone | 336-692-1122
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17121
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City | WINSTON SALEM
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State | NC
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Zip | 27116-7121
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Country | US
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Telephone |
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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 | 4416
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License Number State | NC
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