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General NPI Number Information
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NPI Number | 1669654620
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Entity Type | Organization
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Legal Business Name | JOANNA G. SHUMAN DPM PC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 21475 RIDGETOP CIR STE 210
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City | STERLING
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State | VA
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Zip | 20166-6580
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Country | US
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Telephone | 703-421-1900
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Fax | 703-433-5006
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Provider Business Mailing Address
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Address Line | 21475 RIDGETOP CIR STE 210
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City | STERLING
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State | VA
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Zip | 20166-6580
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Country | US
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Telephone | 703-421-1900
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Fax | 703-433-5006
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOANNA GAYE SHUMAN
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Credential | DPM
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Telephone | 703-421-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103300920
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License Number State | VA
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