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General NPI Number Information
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NPI Number | 1043552953
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Entity Type | Individual
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Provider Name | SHAWN KUMAR MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 1500 S LAKE PARK AVE STE 204
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City | HOBART
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State | IN
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Zip | 46342-6638
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Country | US
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Telephone | 219-947-6695
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Fax |
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Provider Business Mailing Address
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Address Line | 8558 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7032
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Country | US
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Telephone | 219-392-7084
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Fax | 219-703-6854
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01087221A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 287351
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 287351
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 145912
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License Number State | IL
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