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General NPI Number Information
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NPI Number | 1518907849
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Entity Type | Individual
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Provider Name | SHANE HAMON MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 8311 EWING HALSELL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3741
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Country | US
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Telephone | 210-562-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 7703 FLOYD CURL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD60240914
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M3569
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License Number State | TX
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