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General NPI Number Information
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NPI Number | 1194770529
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Entity Type | Individual
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Provider Name | JANET H SHOTWELL MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 600 NE 92ND AVE
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City | VANCOUVER
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State | WA
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Zip | 98664-3225
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Country | US
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Telephone | 360-514-2142
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Fax | 360-514-6820
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Provider Business Mailing Address
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Address Line | 121 LAKESIDE DR
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City | WHITE SALMON
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State | WA
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Zip | 98672-9004
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Country | US
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Telephone | 206-354-0147
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Fax | 509-493-2838
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD00039903
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License Number State | WA
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