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General NPI Number Information
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NPI Number | 1679632459
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Entity Type | Organization
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Legal Business Name | JOHN A SHAW MD PC
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 2224 W NORTHERN AVE SUITE D-300
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City | PHOENIX
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State | AZ
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Zip | 85021-4928
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Country | US
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Telephone | 602-510-8100
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Fax | 480-391-1458
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Provider Business Mailing Address
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Address Line | 10386 N 96TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4775
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Country | US
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Telephone | 602-510-8100
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Fax | 480-391-1458
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN A SHAW II
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Credential | M.D.
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Telephone | 602-510-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | AZ 14068
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License Number State | AZ
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