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General NPI Number Information
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NPI Number | 1386808095
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Entity Type | Organization
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Legal Business Name | DENNIS G SHOFF MD PSC
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 1310 WOODLAND DRIVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-765-6141
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Fax | 270-765-6141
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Provider Business Mailing Address
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Address Line | 1310 WOODLAND DRIVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-765-6141
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Fax | 270-765-6141
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Authorized Official
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Title or Position | OWNER HEALTHCARE PROVIDER
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Name | DENNIS GERALD SHOFF
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Credential | MD
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Telephone | 270-765-6141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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