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General NPI Number Information
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NPI Number | 1588836274
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Entity Type | Individual
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Provider Name | SHAWN URAINE MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 07/24/2016
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Provider Practice Location Address
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Address Line | 25805 BARTON RD SUITE A106
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City | LOMA LINDA
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State | CA
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Zip | 92354-3814
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Country | US
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Telephone | 909-333-4200
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Fax | 909-333-4205
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Provider Business Mailing Address
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Address Line | PO BOX 119
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City | LOMA LINDA
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State | CA
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Zip | 92354-0119
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | A108851
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A08851
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | A108851
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A108851
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License Number State | CA
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