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General NPI Number Information
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NPI Number | 1306033162
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Entity Type | Individual
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Provider Name | JOSHUA SHEA DUBOIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR MCHE-AD/DOAOS
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-464-2542
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Fax |
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Provider Business Mailing Address
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Address Line | 3551 ROGER BROOKE DR MCHE-AD/DOAOS
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-464-2542
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A92282
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | P5060
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License Number State | TX
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