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General NPI Number Information
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NPI Number | 1457346181
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Entity Type | Individual
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Provider Name | JAMES D SHORTT M D
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 5741 BEE RIDGE RD STE 590
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City | SARASOTA
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State | FL
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Zip | 34233-5064
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Country | US
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Telephone | 941-955-1231
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Fax | 941-378-3444
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Provider Business Mailing Address
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Address Line | PO BOX 25036
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City | SARASOTA
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State | FL
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Zip | 34277-2036
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Country | US
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Telephone | 941-955-1231
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Fax | 941-378-3444
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME67392
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License Number State | FL
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