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General NPI Number Information
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NPI Number | 1194770453
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Entity Type | Individual
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Provider Name | DAVID B SHUSTER MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 580 LINCOLN PARK BLVD STE 255
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City | KETTERING
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State | OH
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Zip | 45429-3493
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Country | US
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Telephone | 937-266-4668
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Fax | 866-839-8449
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Provider Business Mailing Address
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Address Line | 2312 FAR HILLS AVE #349
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City | DAYTON
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State | OH
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Zip | 45419-1512
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Country | US
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Telephone | 937-266-4668
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Fax | 866-839-8449
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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 | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | 35-05-9855-S
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License Number State | OH
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