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General NPI Number Information
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NPI Number | 1801535612
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Entity Type | Organization
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Legal Business Name | MARC D. SHIMAN, M.D., P.A.
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 10075 S JOG RD STE 105
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3532
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Country | US
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Telephone | 954-383-9521
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Fax |
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Provider Business Mailing Address
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Address Line | 7976 EMERALD WINDS CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-7852
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Country | US
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Telephone | 954-383-9521
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARC SHIMAN
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Credential | MD
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Telephone | 954-383-9521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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