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General NPI Number Information
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NPI Number | 1396931937
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Entity Type | Organization
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Legal Business Name | VINCENT SHEN MD PLC
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 215 E MANSION ST SUITE 2E
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City | MARSHALL
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State | MI
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Zip | 49068-1559
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Country | US
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Telephone | 269-789-3940
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Fax | 269-789-3879
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Provider Business Mailing Address
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Address Line | 215 E MANSION ST SUITE 2E
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City | MARSHALL
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State | MI
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Zip | 49068-1559
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Country | US
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Telephone | 269-789-3940
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Fax | 269-789-3879
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VINCENT SHEN
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Credential | M.D.
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Telephone | 269-789-3940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 4301082993
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License Number State | MI
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