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General NPI Number Information
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NPI Number | 1699867804
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Entity Type | Organization
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Legal Business Name | SHORR & SMITH MDS
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 501 EAST HARDY STREET SUITE 210
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City | INGLEWOOD
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State | CA
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Zip | 90301
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Country | US
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Telephone | 310-673-4900
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Fax | 310-673-1319
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Provider Business Mailing Address
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Address Line | 501 E HARDY ST STE 210
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City | INGLEWOOD
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State | CA
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Zip | 90301-4093
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Country | US
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Telephone | 310-673-4900
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Fax | 310-673-1319
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KIMBERLEY JONES
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Credential |
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Telephone | 310-673-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | CA
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