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General NPI Number Information
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NPI Number | 1710005970
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Entity Type | Individual
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Provider Name | DANIEL SHATS M.D., M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 46898 NATIONAL RD
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City | SAINT CLAIRSVILLE
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State | OH
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Zip | 43950-8764
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Country | US
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Telephone | 740-449-2196
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Fax | 740-449-2198
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Provider Business Mailing Address
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Address Line | 109 MOUNT WOOD RD STE 1
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City | WHEELING
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State | WV
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Zip | 26003-2632
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Country | US
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Telephone | 304-233-2455
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA-85003
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD440935
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MA-85003
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35098773
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License Number State | OH
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