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General NPI Number Information
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NPI Number | 1033219878
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Entity Type | Individual
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Provider Name | BENJAMIN SHUKERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 203 N MARION ST FL 2
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City | TAMPA
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State | FL
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Zip | 33602-4914
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Country | US
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Telephone | 813-474-9804
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Fax | 813-540-6025
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Provider Business Mailing Address
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Address Line | 5200 DTC PKWY SUITE 400
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2719
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Country | US
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Telephone | 303-745-0000
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Fax | 303-708-1834
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 39715
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 39715
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License Number State | CO
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