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General NPI Number Information
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NPI Number | 1780704478
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Entity Type | Individual
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Provider Name | JOHN T. SHOEMAKER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 1609 N HWY 75 SUITE 300
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City | SHERMAN
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State | TX
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Zip | 75090-5165
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Country | US
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Telephone | 903-893-7751
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Fax | 903-862-6570
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Provider Business Mailing Address
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Address Line | 1609 N HWY 75 SUITE 300
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City | SHERMAN
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State | TX
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Zip | 75090-5165
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Country | US
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Telephone | 903-893-7751
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Fax | 903-862-6570
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12905
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License Number State | TX
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