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General NPI Number Information
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NPI Number | 1285611558
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Entity Type | Individual
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Provider Name | JOHN CASHON SHAMP D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 822 PRINCETON AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-1860
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Country | US
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Telephone | 740-452-6396
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Fax | 740-450-0004
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Provider Business Mailing Address
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Address Line | 822 PRINCETON AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-1860
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Country | US
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Telephone | 740-452-6396
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Fax | 740-450-0004
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30015301
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License Number State | OH
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