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General NPI Number Information
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NPI Number | 1548877400
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Entity Type | Individual
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Provider Name | SHAWN W MILHAUSER PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 10435 REED ST STE 100
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City | WESTMINSTER
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State | CO
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Zip | 80021-6099
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Country | US
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Telephone | 720-669-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 FRANKLIN ST STE 355
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City | OAKLAND
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State | CA
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Zip | 94612-3140
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Country | US
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Telephone | 844-234-7741
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.007894
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA0008866
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License Number State | CO
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