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General NPI Number Information
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NPI Number | 1487620167
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Entity Type | Individual
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Provider Name | MATTHEW P SHAFFER MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 828 ELMHURST BLVD
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City | SALINA
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State | KS
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Zip | 67401-7406
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Country | US
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Telephone | 785-827-2500
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Fax | 785-827-2515
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Provider Business Mailing Address
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Address Line | 9300 E 29TH ST N STE 310
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City | WICHITA
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State | KS
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Zip | 67226-2160
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Country | US
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Telephone | 316-612-1833
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Fax | 316-612-2420
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 04-29936
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 0429936
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License Number State | KS
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