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General NPI Number Information
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NPI Number | 1003346545
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Entity Type | Individual
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Provider Name | CLAY BRYANT SHUMWAY DPM
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Gender | Male
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1905 CLINT MOORE RD
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City | BOCA RATON
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State | FL
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Zip | 33496-2658
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Country | US
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Telephone | 407-960-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 20642 N 16TH PL
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City | PHOENIX
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State | AZ
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Zip | 85024-4355
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Country | US
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Telephone | 215-990-5975
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Fax |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD-001126
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 11926746-0501
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO4693
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License Number State | FL
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