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General NPI Number Information
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NPI Number | 1750366829
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Entity Type | Individual
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Provider Name | CHRISTINA N. SHINAVER M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 5901 TECHNOLOGY CENTER DRIVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-6013
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Country | US
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Telephone | 317-328-5050
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Fax | 317-715-9965
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Provider Business Mailing Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 786-596-5917
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME154026
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01044773A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME154026
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License Number State | FL
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