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General NPI Number Information
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NPI Number | 1538359138
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Entity Type | Individual
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Provider Name | JANET EI-HUA SHU M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 1872 COMMONWEALTH AVE APT. 6
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City | BRIGHTON
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State | MA
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Zip | 02135-6016
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Country | US
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Telephone | 401-862-2398
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Fax |
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Provider Business Mailing Address
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Address Line | 21 MYERSON LN
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City | NEWTON
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State | MA
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Zip | 02459-3508
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 232202
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License Number State | MA
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