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General NPI Number Information
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NPI Number | 1871875393
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Entity Type | Organization
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Legal Business Name | NEW HOPE FUNCTIONAL CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 09/10/2011
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Last Update Date | 09/10/2011
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Provider Practice Location Address
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Address Line | 5204 VILLAGE PKWY SUITE 8
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City | ROGERS
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State | AR
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Zip | 72758-8104
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Country | US
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Telephone | 517-214-3420
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Fax |
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Provider Business Mailing Address
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Address Line | 5204 VILLAGE PKWY SUITE 8
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City | ROGERS
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State | AR
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Zip | 72758-8104
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Country | US
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Telephone | 517-214-3420
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. MEGHANN DIANE SHERMAN
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Credential | D.C.
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Telephone | 517-214-3420
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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 | 15926
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License Number State | AR
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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 | 15931
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License Number State | AR
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