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General NPI Number Information
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NPI Number | 1437087665
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Entity Type | Individual
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Provider Name | SAMUEL SHREWSBURY DMD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 1747 US HIGHWAY 1 S
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-4238
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Country | US
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Telephone | 904-495-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 W ROLLING HILLS CIR APT 504
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City | DAVIE
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State | FL
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Zip | 33328-1917
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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