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General NPI Number Information
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NPI Number | 1225054711
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Entity Type | Individual
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Provider Name | IRENA SHEYN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 800 FOREST AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2882
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Country | US
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Telephone | 856-690-1025
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Fax | 856-690-1352
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Provider Business Mailing Address
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Address Line | 1138 E CHESTNUT AVE
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City | VINELAND
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State | NJ
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Zip | 08360-5053
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Country | US
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Telephone | 856-690-1025
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Fax | 856-690-1352
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 35 07 5849 S
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License Number State | OH
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