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General NPI Number Information
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NPI Number | 1205917481
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Entity Type | Individual
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Provider Name | DAVID B SHUCK DO
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 05/17/2013
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Provider Practice Location Address
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Address Line | 14352 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66223-2987
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Country | US
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Telephone | 913-904-0271
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Fax | 913-851-0071
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Provider Business Mailing Address
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Address Line | 14352 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66223-2987
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Country | US
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Telephone | 913-904-0271
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Fax | 913-851-0071
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 0523677
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | OS 10193
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License Number State | FL
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