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General NPI Number Information
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NPI Number | 1104861335
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Entity Type | Individual
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Provider Name | SHAWN HARLAND PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8415 BAYSHORE BLVD
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City | TAMPA
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State | FL
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Zip | 33621-1607
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Country | US
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Telephone | 813-827-9861
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Fax |
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Provider Business Mailing Address
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Address Line | 27616 KIRKWOOD CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-8724
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-3071
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License Number State | FL
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