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General NPI Number Information
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NPI Number | 1346755253
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Entity Type | Individual
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Provider Name | ROBERT LLOYD SHENEBERGER MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 12/14/2017
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Provider Practice Location Address
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Address Line | 725 W LOMBARD ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1009
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Country | US
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Telephone | 410-706-4613
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 MONTAIR AVE
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City | LONG BEACH
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State | CA
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Zip | 90815-1957
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Country | US
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Telephone | 443-722-3186
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G50486
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License Number State | CA
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