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General NPI Number Information
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NPI Number | 1205990843
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Entity Type | Individual
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Provider Name | SHAWN W WYNN MD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 520 VALLEY VIEW DR
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City | MOLINE
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State | IL
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Zip | 61265-6194
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Country | US
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Telephone | 309-762-3621
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Fax | 309-762-3690
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Provider Business Mailing Address
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Address Line | 520 VALLEY VIEW DR
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City | MOLINE
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State | IL
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Zip | 61265-6194
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Country | US
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Telephone | 309-762-3621
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Fax | 309-762-3690
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036116081
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 37086
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 036116081
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 37086
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License Number State | IA
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