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General NPI Number Information
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NPI Number | 1578614301
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Entity Type | Individual
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Provider Name | SHAWN RUSSELL BARTLEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 36065 SANTA FE AVE
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City | FORT HOOD
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State | TX
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Zip | 76544-5060
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Country | US
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Telephone | 254-553-9071
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Fax | 254-288-8327
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Provider Business Mailing Address
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Address Line | 2531 S SHIELDS ST STE 2J
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City | FORT COLLINS
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State | CO
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Zip | 80526-1857
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Country | US
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Telephone | 970-472-8333
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Fax | 970-472-8332
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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 | 14058
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License Number State | TX
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