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General NPI Number Information
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NPI Number | 1639107931
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Entity Type | Individual
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Provider Name | WILLIAM MICHAEL SHORD D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 06/14/2009
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Provider Practice Location Address
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Address Line | 1713 N 2ND ST
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City | HARRISBURG
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State | PA
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Zip | 17102-2370
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Country | US
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Telephone | 717-263-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 1713 N 2ND ST
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City | HARRISBURG
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State | PA
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Zip | 17102-2370
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Country | US
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Telephone | 717-263-1115
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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 | DC002542L
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License Number State | PA
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