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General NPI Number Information
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NPI Number | 1932563954
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Entity Type | Organization
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Legal Business Name | SHERER CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 321 E CARPENTER ST
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City | JERSEYVILLE
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State | IL
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Zip | 62052-1861
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Country | US
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Telephone | 618-498-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 321 E CARPENTER ST
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City | JERSEYVILLE
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State | IL
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Zip | 62052-1861
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Country | US
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Telephone | 618-498-6444
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Fax |
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Authorized Official
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Title or Position | OWNER/ CHIROPRACTOR
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Name | DR. JACOB M SHERER
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Credential | D.C.
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Telephone | 618-498-6444
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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 | 038012182
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License Number State | IL
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