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General NPI Number Information
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NPI Number | 1205003357
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Entity Type | Individual
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Provider Name | MIKE SHEU M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 23441 MADISON ST BUILDING 8, SUITE 130
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City | TORRANCE
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State | CA
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Zip | 90505-4725
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Country | US
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Telephone | 310-791-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 23441 MADISON ST BUILDING 8, SUITE 130
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City | TORRANCE
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State | CA
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Zip | 90505-4725
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Country | US
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Telephone | 310-791-2233
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Fax |
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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 | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | A126056
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License Number State | CA
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