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General NPI Number Information
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NPI Number | 1669164729
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Entity Type | Individual
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Provider Name | VLADISLAV SHVIDKO DC
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Gender | Male
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 1392 E STATE ST
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City | SHARON
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State | PA
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Zip | 16146-3231
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Country | US
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Telephone | 724-342-2225
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Fax | 724-204-1708
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Provider Business Mailing Address
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Address Line | 1392 E STATE ST
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City | SHARON
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State | PA
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Zip | 16146-3231
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Country | US
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Telephone | 724-342-2225
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Fax | 724-204-1708
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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 | DC011796
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License Number State | PA
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