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General NPI Number Information
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NPI Number | 1831278431
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Entity Type | Individual
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Provider Name | SHEP ADAM PHILLIPS DC
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 12/20/2008
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Provider Practice Location Address
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Address Line | 1044 S 88TH ST SUITE 100
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City | LOUISVILLE
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State | CO
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Zip | 80027-9417
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Country | US
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Telephone | 303-665-9549
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Fax | 303-665-9546
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Provider Business Mailing Address
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Address Line | 1044 S 88TH ST SUITE 100
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City | LOUISVILLE
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State | CO
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Zip | 80027-9417
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Country | US
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Telephone | 303-665-9549
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Fax | 303-665-9546
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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 | 458
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6269
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License Number State | CO
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