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General NPI Number Information
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NPI Number | 1134259278
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Entity Type | Individual
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Provider Name | SHAWN EDWARD STRICKLAND DMSC, MPAS, PA
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 101 FLORENCE STREET
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City | ANSTED
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State | WV
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Zip | 25812
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Country | US
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Telephone | 304-658-5100
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Fax | 304-658-3375
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Provider Business Mailing Address
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Address Line | 101 FLORENCE ST
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City | ANSTED
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State | WV
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Zip | 25812
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Country | US
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Telephone | 304-658-6007
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Fax | 304-658-6017
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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 | 1233
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License Number State | WV
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