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General NPI Number Information
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NPI Number | 1275578940
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Entity Type | Individual
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Provider Name | SANDRA ROBBIN SHUFFETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 1760 NICHOLASVILLE RD SUITE 401
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City | LEXINGTON
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State | KY
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Zip | 40503-1471
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Country | US
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Telephone | 859-260-6537
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Fax | 859-260-4151
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Provider Business Mailing Address
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Address Line | PO BOX 910670
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City | LEXINGTON
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State | KY
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Zip | 40591-0670
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Country | US
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Telephone | 859-971-4685
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Fax | 859-971-4602
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 045394
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 43771
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License Number State | KY
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