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General NPI Number Information
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NPI Number | 1740668839
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Entity Type | Individual
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Provider Name | ROBERT JAMES SHIELDS DPM
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Gender | Male
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 200 WEST 3RD STREET
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City | NEWPORT
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State | KY
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Zip | 41071-1814
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Country | US
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Telephone | 859-212-0175
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-344-5555
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Fax | 859-344-5552
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36.003878
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.003878
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 268170
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License Number State | KY
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