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General NPI Number Information
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NPI Number | 1235324666
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Entity Type | Individual
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Provider Name | ELIZABETH J. MCSHANE M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 12291 E. WASHINGTON BLVD, SUITE 203
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City | WHITTIER
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State | CA
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Zip | 90606-2549
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Country | US
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Telephone | 562-698-2200
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Fax | 562-698-5282
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Provider Business Mailing Address
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Address Line | 12291 E. WASHINGTON BLVD, SUITE 203
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City | WHITTIER
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State | CA
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Zip | 90606-2549
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Country | US
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Telephone | 562-698-2200
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Fax | 562-698-5282
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G73098
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License Number State | CA
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