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General NPI Number Information
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NPI Number | 1720067382
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Entity Type | Individual
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Provider Name | JAMES M SHAW M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 3111 RIVER VALLEY DR
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City | KINGWOOD
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State | TX
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Zip | 77339-1943
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Country | US
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Telephone | 281-706-3175
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 RIVER VALLEY DR
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City | HUMBLE
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State | TX
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Zip | 77339-1943
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Country | US
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Telephone | 281-706-3175
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E1128
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E1128
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | E1128
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License Number State | TX
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