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General NPI Number Information
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NPI Number | 1285176123
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Entity Type | Individual
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Provider Name | JAMES SHOEMAKER
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Gender | Male
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 281 N LYERLY ST STE 305
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City | CHATTANOOGA
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State | TN
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Zip | 37404-2728
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Country | US
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Telephone | 423-777-4974
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Fax |
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Provider Business Mailing Address
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Address Line | 1463 MARKET ST STE 104
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City | CHATTANOOGA
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State | TN
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Zip | 37402-4465
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Country | US
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Telephone | 423-362-4381
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Fax | 866-591-0619
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 292333
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12952
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License Number State | TN
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