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General NPI Number Information
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NPI Number | 1295773604
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Entity Type | Organization
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Legal Business Name | DR. SHONA, INC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 33000 PORTOFINO CIR APT 110
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-1279
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Country | US
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Telephone | 773-367-4150
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Fax | 681-245-8167
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Provider Business Mailing Address
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Address Line | 33000 PORTOFINO CIR APT 110
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-1279
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Country | US
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Telephone | 773-367-4150
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Fax | 681-245-8167
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHONA M HILLMAN
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Credential | MD
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Telephone | 773-367-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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