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General NPI Number Information
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NPI Number | 1154900165
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Entity Type | Individual
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Provider Name | ERIC MESSER SHUFFLE MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 4500 SAN PABLO RD S
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City | JACKSONVILLE
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State | FL
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Zip | 32224-1865
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Country | US
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Telephone | 904-953-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2142 N COVE BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3895
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Country | US
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Telephone | 419-291-2192
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | ME173146
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License Number State | FL
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