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General NPI Number Information
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NPI Number | 1881991909
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Entity Type | Organization
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Legal Business Name | SHERMAN CHIROPRACTIC HOLISTIC HEALTH CENTER
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 6717 ATLANTIC AVE
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City | VENTNOR CITY
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State | NJ
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Zip | 08406-2621
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Country | US
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Telephone | 609-822-1227
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Fax | 609-823-2806
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Provider Business Mailing Address
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Address Line | 6717 ATLANTIC AVE
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City | VENTNOR CITY
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State | NJ
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Zip | 08406-2621
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Country | US
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Telephone | 609-822-1227
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Fax | 609-823-2806
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | MICHAEL TERRY SHERMAN
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Credential | D.C.
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Telephone | 609-822-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 38MC00217300
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License Number State | NJ
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