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General NPI Number Information
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NPI Number | 1841272168
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Entity Type | Individual
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Provider Name | SHANE D. DRAPER DPM
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Gender | Male
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 2078 IDAHO ST
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City | ELKO
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State | NV
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Zip | 89801-2627
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Country | US
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Telephone | 775-738-1100
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Fax | 775-738-1101
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Provider Business Mailing Address
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Address Line | 2078 IDAHO ST
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City | ELKO
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State | NV
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Zip | 89801-2627
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Country | US
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Telephone | 775-738-1100
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Fax | 775-738-1101
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 9903
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License Number State | NV
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