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General NPI Number Information
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NPI Number | 1053156521
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Entity Type | Individual
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Provider Name | SHANE CRUZ PREBIS PA
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Gender | Male
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Dates
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Enumeration Date | 06/27/2024
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 190 KIMEL PARK DR STE 120
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City | WINSTON SALEM
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State | NC
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Zip | 27103-6946
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Country | US
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Telephone | 336-277-2200
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Fax | 336-277-2210
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 336-277-2200
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Fax | 336-277-2210
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-14581
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License Number State | NC
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