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General NPI Number Information
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NPI Number | 1003852369
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Entity Type | Organization
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Legal Business Name | SHIPMAN,EUCKER AND ASSOCIATES
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2652 ELM RD NE
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City | CORTLAND
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State | OH
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Zip | 44410-9393
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Country | US
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Telephone | 800-292-3008
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Fax | 330-629-9181
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Provider Business Mailing Address
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Address Line | 2652 ELM RD NE
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City | CORTLAND
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State | OH
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Zip | 44410-9393
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Country | US
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Telephone | 800-292-3008
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Fax | 330-629-9181
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TARA S SHIPM,AN
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Credential | MD
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Telephone | 330-372-0372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | OH
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