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General NPI Number Information
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NPI Number | 1821178260
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Entity Type | Individual
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Provider Name | JASON M. SHOHET MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 55 LAKE AVE N
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City | WORCESTER
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State | MA
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Zip | 01655
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Country | US
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Telephone | 774-441-8083
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Fax | 774-441-8057
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Provider Business Mailing Address
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Address Line | PO BOX 415348
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City | BOSTON
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State | MA
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Zip | 02241-5348
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Country | US
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Telephone | 800-225-8885
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Fax | 508-334-1977
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 159613
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | K9419
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 159613
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License Number State | MA
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