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General NPI Number Information
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NPI Number | 1225339955
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Entity Type | Organization
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Legal Business Name | DONALD E. SHEARER M.D., INC.
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Dates
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Enumeration Date | 11/11/2010
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 11346 MOUNTAIN VIEW AVE STE B
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City | LOMA LINDA
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State | CA
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Zip | 92354-3833
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Country | US
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Telephone | 909-796-0101
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Fax | 909-796-3035
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Provider Business Mailing Address
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Address Line | 11346 MOUNTAIN VIEW AVE STE B
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City | LOMA LINDA
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State | CA
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Zip | 92354-3833
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Country | US
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Telephone | 909-796-0101
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Fax | 909-796-3035
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Authorized Official
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Title or Position | OWNER
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Name | DONALD E SHEARER
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Credential | M.D.
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Telephone | 909-796-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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