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General NPI Number Information
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NPI Number | 1427080324
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Entity Type | Individual
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Provider Name | DAVID SHULMISTER MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 1100 FIRST COLONIAL RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2403
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Country | US
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Telephone | 757-366-3100
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Fax | 757-366-9474
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Provider Business Mailing Address
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Address Line | 814 GREENBRIER CIR STE H
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2643
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Country | US
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Telephone | 757-366-3100
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Fax | 757-366-9474
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101037936
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License Number State | VA
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