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General NPI Number Information
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NPI Number | 1821204223
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Entity Type | Individual
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Provider Name | SHANE MICHAEL WADE D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 73 W VAN BUREN ST
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City | OSWEGO
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State | IL
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Zip | 60543-7213
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Country | US
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Telephone | 630-450-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 628 SALEM CIR
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City | OSWEGO
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State | IL
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Zip | 60543-8665
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Country | US
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Telephone |
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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 | 38010945
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License Number State | IL
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