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General NPI Number Information
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NPI Number | 1164497491
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Entity Type | Individual
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Provider Name | SHAUN JASON LIMON DPM
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 11065 GATEWOOD DR # C-102
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34211-4944
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Country | US
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Telephone | 941-782-8639
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Fax | 941-751-0976
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Provider Business Mailing Address
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Address Line | 11065 GATEWOOD DR STE C-102
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34211-4944
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Country | US
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Telephone | 941-756-6906
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Fax | 941-751-0976
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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 | PO2722
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License Number State | FL
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