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General NPI Number Information
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NPI Number | 1538371661
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Entity Type | Organization
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Legal Business Name | STEVEN R. SHIRTS, MD PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1741 AUSTIN ST
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-4621
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Country | US
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Telephone | 541-273-3000
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Fax | 541-273-3014
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Provider Business Mailing Address
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Address Line | 1741 AUSTIN ST
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-4621
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Country | US
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Telephone | 541-273-3000
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Fax | 541-273-3014
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN R SHIRTS
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Credential | MD
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Telephone | 541-273-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD22378
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License Number State | OR
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