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General NPI Number Information
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NPI Number | 1215901673
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Entity Type | Individual
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Provider Name | PATRICK L SHUMRICK DPT
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 4815 COOPER RD STE 102
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City | CINCINNATI
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State | OH
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Zip | 45242-7076
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Country | US
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Telephone | 513-891-0934
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Fax | 513-891-1323
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Provider Business Mailing Address
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Address Line | PO BOX 30155
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City | CINCINNATI
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State | OH
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Zip | 45230-0155
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Country | US
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Telephone | 513-891-0934
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Fax | 513-891-1323
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT04938
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License Number State | OH
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