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General NPI Number Information
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NPI Number | 1164049888
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Entity Type | Individual
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Provider Name | JAMES MICHAEL SHEA DPM
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Gender | Male
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 4800 FOURNACE PL
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City | BELLAIRE
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State | TX
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Zip | 77401-2324
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Country | US
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Telephone | 346-426-0432
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Fax |
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Provider Business Mailing Address
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Address Line | 3802 6TH AVE
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City | KENOSHA
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State | WI
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Zip | 53140-5519
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Country | US
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Telephone | 262-914-2800
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1349-25
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 692219
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License Number State | TX
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