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General NPI Number Information
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NPI Number | 1902136484
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Entity Type | Organization
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Legal Business Name | MICHAEL S SHIPPY CHIROPRACTIC PA
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | 4000 W PARK BLVD
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City | PLANO
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State | TX
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Zip | 75093-3839
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Country | US
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Telephone | 972-769-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 W PARK BLVD
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City | PLANO
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State | TX
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Zip | 75093-3839
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Country | US
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Telephone | 972-769-9500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL S SHIPPY
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Credential | D.C.
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Telephone | 972-769-9500
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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 | 5938
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License Number State | TX
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