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General NPI Number Information
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NPI Number | 1548241706
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Entity Type | Individual
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Provider Name | STEVEN S SHU M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 515 STATE ROAD 436 STE 1010
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City | CASSELBERRY
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State | FL
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Zip | 32707-5341
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Country | US
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Telephone | 407-637-2333
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Fax | 763-287-6544
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Provider Business Mailing Address
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Address Line | 515 STATE ROAD 436 STE 1010
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City | CASSELBERRY
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State | FL
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Zip | 32707-5341
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Country | US
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Telephone | 888-992-0019
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Fax | 407-637-2334
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 44484
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 142223
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License Number State | FL
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