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General NPI Number Information
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NPI Number | 1801859368
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Entity Type | Individual
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Provider Name | JAMES P SHAFFER MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 145 W 4TH ST STE 201
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City | COOKEVILLE
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State | TN
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Zip | 38501-2476
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Country | US
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Telephone | 931-783-2143
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Fax | 931-783-2152
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Provider Business Mailing Address
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Address Line | 3300 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4306
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Country | US
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Telephone | 321-434-9563
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME79932
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 67366
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME79932
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 67366
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | ME79932
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 67366
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License Number State | TN
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