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General NPI Number Information
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NPI Number | 1477711109
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Entity Type | Individual
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Provider Name | EVA NICOLENE PROESCHOLDT SHAW M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 3150 N ELM ST STE 101
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City | GREENSBORO
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State | NC
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Zip | 27408-3881
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Country | US
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Telephone | 363-716-7811
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Fax | 336-713-2020
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Provider Business Mailing Address
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Address Line | 3150 N ELM ST STE 101
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City | GREENSBORO
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State | NC
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Zip | 27408-3881
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Country | US
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Telephone | 363-716-7811
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Fax | 336-713-2020
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2010-02080
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License Number State | NC
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