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General NPI Number Information
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NPI Number | 1194854737
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Entity Type | Organization
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Legal Business Name | STEVEN K. SHOEMAKER, DPM AND ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1421 SECRET RAVINE PKWY STE 111
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City | ROSEVILLE
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State | CA
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Zip | 95661-6045
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Country | US
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Telephone | 916-781-3223
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Fax | 916-781-8171
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Provider Business Mailing Address
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Address Line | 4120 DOUGLAS BLVD # 306-165
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City | GRANITE BAY
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State | CA
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Zip | 95746-5936
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Country | US
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Telephone | 916-781-3223
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Fax | 916-781-8171
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Authorized Official
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Title or Position | DOCTOR OF PODIATRY
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Name | DR. STEVEN KAY SHOEMAKER
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Credential | DPM
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Telephone | 916-781-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E3540
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License Number State | CA
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