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General NPI Number Information
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NPI Number | 1003201682
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Entity Type | Individual
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Provider Name | WILLIAM PAUL SHIELD III M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 13837 CIRCA CROSSING DR
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City | LITHIA
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State | FL
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Zip | 33547-4382
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Country | US
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Telephone | 813-684-2663
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Fax | 813-658-6222
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Provider Business Mailing Address
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Address Line | PO BOX 850001 DEPT 8272
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City | ORLANDO
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State | FL
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Zip | 32885-8272
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Country | US
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Telephone | 136-842-6638
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Fax | 813-658-6222
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | A167148
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME148179
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License Number State | FL
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