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General NPI Number Information
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NPI Number | 1992990725
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Entity Type | Organization
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Legal Business Name | SHAD M. HUFFER, P.C.
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 09/14/2007
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Provider Practice Location Address
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Address Line | 502 3RD AVE
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City | JASPER
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State | IN
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Zip | 47546-3503
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Country | US
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Telephone | 812-482-2923
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Fax | 812-482-2934
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Provider Business Mailing Address
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Address Line | 502 3RD AVE
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City | JASPER
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State | IN
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Zip | 47546-3503
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Country | US
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Telephone | 812-482-2923
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Fax | 812-482-2934
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAD MITCHELL HUFFER
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Credential | D.C.
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Telephone | 812-482-2923
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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 |
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License Number State |
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