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General NPI Number Information
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NPI Number | 1134555055
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Entity Type | Individual
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Provider Name | STEWARD FRANKLIN SHIFFLETT JR.
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Gender | Male
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 9220 102ND AVE
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City | SEMINOLE
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State | FL
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Zip | 33777-1032
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Country | US
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Telephone | 813-241-0811
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Fax | 727-209-0464
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Provider Business Mailing Address
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Address Line | 9220 102ND AVE NORTH
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City | SEMINOLE
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State | FL
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Zip | 33777
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Country | US
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Telephone | 813-241-0811
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Fax | 727-209-0464
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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