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General NPI Number Information
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NPI Number | 1396372595
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Entity Type | Individual
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Provider Name | YOLANDA SHAW
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 900 23RD ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-2342
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Country | US
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Telephone | 202-715-5154
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Fax | 202-715-4901
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Provider Business Mailing Address
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Address Line | 1120 W. MICHIGAN ST. CL 642
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-278-2686
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD600004480
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License Number State | DC
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