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General NPI Number Information
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NPI Number | 1346347705
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Entity Type | Individual
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Provider Name | MICHAEL P SHEAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BAY PINES V.A. MEDICAL CENTER PRIMARY CARE SHG
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City | BAY PINES
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 6590 27TH WAY N
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City | ST PETERSBURG
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State | FL
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Zip | 33702-6324
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Country | US
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Telephone | 727-692-1399
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME40398
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License Number State | FL
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