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NPI 1629177183

NPI 1629177183 : SHANNON STERLING SAUER D.C. : STERLING, KS

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General NPI Number Information
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    NPI Number           |    1629177183
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    Entity Type          |    Individual 
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    Provider Name        |    SHANNON STERLING SAUER D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/21/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    316 W WASHINGTON AVE 
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    City                 |    STERLING
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    State                |    KS
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    Zip                  |    67579-1616
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    Country              |    US
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    Telephone            |    620-278-3800
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    Fax                  |    620-278-3801
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Provider Business Mailing Address
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    Address Line         |    316 W WASHINGTON AVE 
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    City                 |    STERLING
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    State                |    KS
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    Zip                  |    67579-2319
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    Country              |    US
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    Telephone            |    620-278-3800
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    Fax                  |    620-278-3801
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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       |    01-04160
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    License Number State |    KS
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