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General NPI Number Information
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NPI Number | 1093522666
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Entity Type | Individual
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Provider Name | GABRIELLE SHUMAKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1 WALTER SCHOLER DR
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City | LAFAYETTE
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State | IN
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Zip | 47909-6303
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Country | US
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Telephone | 765-448-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W 7TH ST
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City | VEEDERSBURG
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State | IN
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Zip | 47987-1112
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Country | US
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Telephone | 765-299-1591
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10004759A
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License Number State | IN
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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 |
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License Number State |
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