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General NPI Number Information
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NPI Number | 1609393537
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Entity Type | Organization
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Legal Business Name | JAMES R. SHIELDS, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7301 MEDICAL CENTER DRIVE, #206
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City | WEST HILLS
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State | CA
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Zip | 91307
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Country | US
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Telephone | 818-312-9790
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Fax | 818-312-9795
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Provider Business Mailing Address
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Address Line | 7301 MEDICAL CENTER DR STE 206
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City | WEST HILLS
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State | CA
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Zip | 91307-1948
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Country | US
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Telephone | 818-312-9790
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Fax | 818-312-9795
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JAMES ROBERT SHIELDS
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Credential | MD
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Telephone | 818-312-9790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | G40378
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License Number State | CA
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