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General NPI Number Information
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NPI Number | 1770391682
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Entity Type | Organization
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Legal Business Name | SHI SPECIALISTS LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 524 W SAGAMORE AVE OFC
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City | CLEWISTON
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State | FL
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Zip | 33440-3514
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Country | US
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Telephone | 863-983-3434
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 277615
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City | MIRAMAR
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State | FL
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Zip | 33027-7615
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Country | US
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Telephone | 386-627-5771
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUDDY VALDES
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Credential | DO
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Telephone | 954-615-7179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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