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General NPI Number Information
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NPI Number | 1295739571
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Entity Type | Individual
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Provider Name | JOHN ZACHARY SHUMKO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 40 MAIN ST
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City | CHATHAM
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State | NJ
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Zip | 07928-2431
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Country | US
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Telephone | 973-635-0800
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Fax | 973-635-3137
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Provider Business Mailing Address
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Address Line | 40 MAIN ST
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City | CHATHAM
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State | NJ
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Zip | 07928-2431
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Country | US
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Telephone | 973-635-0800
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Fax | 973-635-3137
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MA60908
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | 25MA06090800
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License Number State | NJ
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