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General NPI Number Information
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NPI Number | 1609182898
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Entity Type | Individual
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Provider Name | SHON GEORGE MICHAEL MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 4805 MONTGOMERY RD STE 410
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City | CINCINNATI
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State | OH
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Zip | 45212
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Country | US
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Telephone | 513-241-2370
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Fax | 513-240-6053
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Provider Business Mailing Address
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Address Line | 4805 MONTGOMERY RD STE 150
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City | CINCINNATI
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State | OH
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Zip | 45212-2280
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Country | US
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Telephone | 513-241-2370
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Fax | 513-241-6053
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 35.132901
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35.132901
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License Number State | OH
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