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NPI Code Detail

MEDICARE: ANDREW SHIMADA

MEDICARE: ANDREW SHIMADA
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
1235Z00000XSpeech-Language PathologistSLP.0002019CO

General Provider Information

NPI Number : 1174977052
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW SHIMADA
Provider Business Mailing Address
First Line : 940 WORTHINGTON CIR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1840
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 940 WORTHINGTON CIR
Second Line : REHAB DEPARTMENT
City : FORT COLLINS
State : CO
Zip : 80526-1840
Country : US
Telephone Number : 970-221-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2016
Last Update Date : 04/18/2016

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Directions to “ ANDREW SHIMADA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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