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General NPI Number Information
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NPI Number | 1710980628
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Entity Type | Individual
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Provider Name | TODD A. SHUMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 316 CALHOUN ST
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City | CHARLESTON
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State | SC
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Zip | 29401-1113
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Country | US
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Telephone | 843-720-8397
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Fax | 843-724-2695
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 843-789-1620
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Fax | 843-724-2440
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD019864
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 32305
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 32305
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License Number State | SC
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