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General NPI Number Information
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NPI Number | 1225017833
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Entity Type | Individual
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Provider Name | CARRIE L SHULMAN MD
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Gender | Female
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 13121 66TH ST
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City | LARGO
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State | FL
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Zip | 33773-1812
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Country | US
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Telephone | 813-336-4461
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Fax | 813-336-4466
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Provider Business Mailing Address
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Address Line | 13121 66TH ST
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City | LARGO
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State | FL
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Zip | 33773-1812
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Country | US
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Telephone | 727-314-8180
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Fax | 727-474-6527
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME115244
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License Number State | FL
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