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General NPI Number Information
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NPI Number | 1194850123
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Entity Type | Organization
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Legal Business Name | DAVID G. SHULMAN, M.D., P.A.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 999 E BASSE RD SUITE 127
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1801
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Country | US
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Telephone | 210-821-6901
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Fax | 210-821-6941
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Provider Business Mailing Address
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Address Line | 999 E BASSE RD SUITE 127
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1801
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Country | US
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Telephone | 210-821-6901
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Fax | 210-821-6941
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TIFFANY P SAMSON
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Credential | CMOM
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Telephone | 210-821-6901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E1751
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License Number State | TX
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