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General NPI Number Information
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NPI Number | 1437312550
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Entity Type | Organization
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Legal Business Name | JAMES B SHAW, MD, PC
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 4401 MANCHESTER AVE SUITE 103
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City | ENCINITAS
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State | CA
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Zip | 92024-4938
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Country | US
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Telephone | 760-632-7246
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Fax | 760-942-8878
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Provider Business Mailing Address
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Address Line | 4401 MANCHESTER AVE SUITE 103
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City | ENCINITAS
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State | CA
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Zip | 92024-4938
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Country | US
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Telephone | 760-632-7246
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Fax | 760-942-8878
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES B SHAW
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Credential | MD
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Telephone | 760-632-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A45657
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License Number State | CA
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