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General NPI Number Information
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NPI Number | 1225012883
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Entity Type | Individual
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Provider Name | DAVID J SHULKIN MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 02/17/2019
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Provider Practice Location Address
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Address Line | 100 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-971-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 944 MERION SQUARE RD
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City | GLADWYNE
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State | PA
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Zip | 19035-1510
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Country | US
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Telephone | 610-453-0362
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD039174E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 236955
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License Number State | NY
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