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General NPI Number Information
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NPI Number | 1588045660
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Entity Type | Individual
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Provider Name | STEPHEN JOSEPH SHAMP MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 6600 66TH ST N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5040
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Country | US
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Telephone | 727-343-0600
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Fax | 727-344-6163
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Provider Business Mailing Address
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Address Line | 6600 66TH ST N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5040
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Country | US
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Telephone | 727-343-0600
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Fax | 727-344-6163
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME143522
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License Number State | FL
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