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General NPI Number Information
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NPI Number | 1154542181
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Entity Type | Individual
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Provider Name | TODD STILES SHANKS MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 11500 STATE HIGHWAY 121 STE 1010
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City | FRISCO
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State | TX
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Zip | 75035-9347
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Country | US
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Telephone | 214-807-0445
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Fax | 214-817-1006
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Provider Business Mailing Address
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Address Line | 11500 STATE HIGHWAY 121 STE 1010
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City | FRISCO
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State | TX
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Zip | 75035-9347
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Country | US
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Telephone | 214-807-0445
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Fax | 214-817-1006
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 40612
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 01068505A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | S9413
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License Number State | TX
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