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NPI Code Detail

MEDICARE: DR. SHAWN EDWARD HARPER D.C.

MEDICARE:  DR. SHAWN EDWARD HARPER  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0104556115VA

General Provider Information

NPI Number : 1659555399
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN EDWARD HARPER D.C.
Provider Business Mailing Address
First Line : 320 S SYCAMORE ST
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-5041
Country : US
Telephone Number : 571-265-9323
Fax Number :
Provider Business Practice Location Address
First Line : 320 S SYCAMORE ST
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-5041
Country : US
Telephone Number : 571-265-9323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2007
Last Update Date : 12/17/2007

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Directions to “ DR. SHAWN EDWARD HARPER D.C.” Practice Location

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