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General NPI Number Information
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NPI Number | 1184000838
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Entity Type | Organization
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Legal Business Name | DREW SHULMAN, DMD, PC
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 2417 WELSH RD STE 10
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2213
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Country | US
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Telephone | 215-969-8080
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Fax | 215-969-2321
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Provider Business Mailing Address
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Address Line | 2417 WELSH RD STE 10
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2213
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Country | US
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Telephone | 215-969-8080
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Fax | 215-969-2321
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Authorized Official
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Title or Position | OWNER
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Name | DR. DREW SHULMAN
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Credential | DMD
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Telephone | 215-969-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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