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General NPI Number Information
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NPI Number | 1922877810
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Entity Type | Individual
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Provider Name | MICHAEL SHERRILL DC
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Gender | Male
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 919 E MAIN ST
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City | PARK HILLS
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State | MO
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Zip | 63601-2717
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Country | US
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Telephone | 573-327-4067
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 401
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City | PARK HILLS
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State | MO
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Zip | 63601-0401
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Country | US
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Telephone | 573-631-8709
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Fax | 636-479-1088
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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 | 2023049803
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License Number State | MO
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