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General NPI Number Information
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NPI Number | 1497320956
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Entity Type | Individual
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Provider Name | MICAH SHOOK DO
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Gender | Male
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 100 HOSPITAL DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5272
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Country | US
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Telephone | 828-650-8167
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Fax | 828-687-0729
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Provider Business Mailing Address
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Address Line | PO BOX 1869
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City | FLETCHER
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State | NC
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Zip | 28732-1869
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2024-01292
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS22733
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0116035185
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101028814
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License Number State | MI
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