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General NPI Number Information
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NPI Number | 1932306917
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC PROFESSIONAL OFFICE, PC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 1375 N CENTER POINT RD
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City | HIAWATHA
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State | IA
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Zip | 52233-1239
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Country | US
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Telephone | 319-393-3710
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Fax | 319-294-8250
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Provider Business Mailing Address
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Address Line | 1375 N CENTER POINT RD
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City | HIAWATHA
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State | IA
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Zip | 52233-1239
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Country | US
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Telephone | 319-393-3710
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Fax | 319-294-8250
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. CHRISTOPHER THOMAS SHERMAN
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Credential | D.C.
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Telephone | 319-393-3710
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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 | A06146
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License Number State | IA
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