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General NPI Number Information
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NPI Number | 1417108895
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Entity Type | Individual
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Provider Name | DAVID SHENASSA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 220 SW 84TH AVE STE 102
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City | PLANTATION
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State | FL
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Zip | 33324-2729
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Country | US
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Telephone | 954-720-1530
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Fax | 954-720-6540
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Provider Business Mailing Address
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Address Line | 220 SW 84TH AVE STE 102
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City | PLANTATION
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State | FL
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Zip | 33324-2729
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Country | US
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Telephone | 954-349-2345
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Fax | 954-641-1086
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME105233
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | ME105233
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License Number State | FL
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