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General NPI Number Information
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NPI Number | 1295894764
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Entity Type | Organization
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Legal Business Name | DAVID J. SHINGLES, D.O., P.C.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1101 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-7902
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Country | US
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Telephone | 610-435-3111
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Fax | 610-432-5953
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Provider Business Mailing Address
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Address Line | 1101 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-7902
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Country | US
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Telephone | 610-435-3111
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Fax | 610-432-5953
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAVID J. SHINGLES
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Credential | D.O.
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Telephone | 610-435-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | PA
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