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General NPI Number Information
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NPI Number | 1194845776
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Entity Type | Organization
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Legal Business Name | JAMES S. SHAFER, M.D.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 203 W BADILLO ST
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City | COVINA
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State | CA
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Zip | 91723-1907
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Country | US
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Telephone | 626-332-6238
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Fax | 626-332-1044
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Provider Business Mailing Address
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Address Line | 203 W BADILLO ST
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City | COVINA
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State | CA
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Zip | 91723-1907
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Country | US
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Telephone | 626-332-6238
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Fax | 626-332-1044
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES S SHAFER
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Credential | M.D.
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Telephone | 626-332-6238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C26610
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License Number State | CA
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