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General NPI Number Information
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NPI Number | 1306400338
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Entity Type | Individual
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Provider Name | MELISSA SHOEMAKER MD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 2001 INWOOD RD FL 89
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City | DALLAS
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State | TX
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Zip | 75390-8872
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Country | US
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Telephone | 214-645-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 845347
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City | DALLAS
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State | TX
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Zip | 75390-7208
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Country | US
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Telephone | 214-645-2800
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 44403
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | MD.44403
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | MD.44403
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | U4627
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License Number State | TX
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