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General NPI Number Information
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NPI Number | 1336436211
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Entity Type | Individual
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Provider Name | SHEILA SHUK-YIN MAK D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 13115 W LINEBAUGH AVE STE 101
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City | TAMPA
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State | FL
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Zip | 33626-4493
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Country | US
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Telephone | 727-306-9050
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Fax | 656-218-2401
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Provider Business Mailing Address
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Address Line | 13115 W LINEBAUGH AVE STE 101
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City | TAMPA
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State | FL
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Zip | 33626-4493
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Country | US
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Telephone | 727-306-9050
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Fax | 656-218-2401
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MB08954300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS015663
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS12798
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License Number State | FL
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