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General NPI Number Information
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NPI Number | 1194754739
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Entity Type | Individual
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Provider Name | JOHN PALMER DAVID SHEMO MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2496 OLD IVY ROAD SUITE 400 PSYCHIATRIC ALLIANCE OF THE BLUE RIDGE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4895
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Country | US
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Telephone | 434-984-6777
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Fax | 434-296-1412
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Provider Business Mailing Address
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Address Line | 2496 OLD IVY ROAD SUITE 400 PSYCHIATRIC ALLIANCE OF THE BLUE RIDGE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4895
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Country | US
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Telephone | 434-984-6777
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Fax | 434-296-1412
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101031015
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 0101031015
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 0101031015
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License Number State | VA
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