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General NPI Number Information
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NPI Number | 1386692598
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Entity Type | Individual
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Provider Name | MARCIA L SHEW MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 6002 E 38TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-5614
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Country | US
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Telephone | 317-880-6002
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Fax | 317-880-0417
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone | 317-274-1201
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Fax | 317-278-9905
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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 | 01051114A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 01051114
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License Number State | IN
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