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General NPI Number Information
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NPI Number | 1659504306
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Entity Type | Individual
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Provider Name | ZACHARY L SHEEDY DC
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Gender | Male
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 920 W PRAIRIE DR SUITE J
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City | SYCAMORE
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State | IL
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Zip | 60178-3123
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Country | US
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Telephone | 815-895-3354
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Fax | 815-895-3345
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Provider Business Mailing Address
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Address Line | 920 W PRAIRIE DR SUITE J
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City | SYCAMORE
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State | IL
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Zip | 60178-3123
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Country | US
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Telephone | 815-895-3354
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Fax | 815-895-3345
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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 | 038.011487
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License Number State | IL
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