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General NPI Number Information
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NPI Number | 1780738609
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Entity Type | Individual
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Provider Name | MICHAEL FRANCIS SHEDLOSKY DMD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4306 MEDICAL PKWY SUITE 2
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City | AUSTIN
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State | TX
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Zip | 78756-3312
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Country | US
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Telephone | 512-454-6744
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Fax | 512-419-0133
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Provider Business Mailing Address
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Address Line | 4305 GREEN CLIFFS RD
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City | AUSTIN
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State | TX
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Zip | 78746-1244
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Country | US
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Telephone | 512-454-6744
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 21134
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License Number State | TX
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