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General NPI Number Information
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NPI Number | 1699875252
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Entity Type | Organization
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Legal Business Name | TODD SHENKENBERG MD PA
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 1719 TREASURE HILLS BLVD.
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City | HARLINGEN
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State | TX
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Zip | 78550-8912
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Country | US
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Telephone | 956-364-2131
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Fax | 956-364-2141
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Provider Business Mailing Address
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Address Line | 1719 TREASURE HILLS BLVD.
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City | HARLINGEN
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State | TX
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Zip | 78550-8912
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Country | US
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Telephone | 956-364-2131
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Fax | 956-364-2141
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JAN SHENKENBERG
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Credential |
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Telephone | 956-364-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01990
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G0110
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License Number State | TX
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