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NPI 1669496378

NPI 1669496378 : HARRY I SHUMAN M.D., M.P.H. : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1669496378
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    Entity Type          |    Individual 
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    Provider Name        |    HARRY I SHUMAN M.D., M.P.H.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4422 3RD AVE 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10457-2545
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    Country              |    US
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    Telephone            |    718-960-9122
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    Fax                  |    718-960-3147
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Provider Business Mailing Address
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    Address Line         |    79 MYSTIC DR 
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    City                 |    OSSINING
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    State                |    NY
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    Zip                  |    10562-1965
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    Country              |    US
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    Telephone            |    914-762-3321
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    Fax                  |    914-762-3352
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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        |    2083P0901X
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    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
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    License Number       |    210207
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    License Number State |    NY
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