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General NPI Number Information
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NPI Number | 1497962104
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Entity Type | Organization
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Legal Business Name | SHENANDOAH CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 13664 W STATE ROAD 84
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City | DAVIE
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State | FL
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Zip | 33325-5302
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Country | US
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Telephone | 954-915-9944
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Fax | 954-915-9972
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Provider Business Mailing Address
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Address Line | 13664 W STATE ROAD 84
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City | DAVIE
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State | FL
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Zip | 33325-5302
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Country | US
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Telephone | 954-915-9944
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Fax | 954-915-9972
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT STEVEN LESHAW
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Credential | D.C.
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Telephone | 954-915-9944
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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 | CH-7465
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number |
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License Number State |
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