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General NPI Number Information
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NPI Number | 1831655935
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Entity Type | Individual
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Provider Name | DONALD AARON SHAW DC
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Gender | Male
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 672 N SEMORAN BLVD STE 201
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City | ORLANDO
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State | FL
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Zip | 32807-3372
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Country | US
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Telephone | 407-447-6848
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Fax |
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Provider Business Mailing Address
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Address Line | 7102 ROTHCHILD CT
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City | ORLANDO
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State | FL
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Zip | 32835-6177
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Country | US
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Telephone | 407-721-0032
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12707
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License Number State | FL
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