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General NPI Number Information
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NPI Number | 1851496822
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Entity Type | Organization
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Legal Business Name | DR. BRAD SHAMIS & ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 7010 E ACOMA DR STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3550
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Country | US
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Telephone | 215-752-2287
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Fax |
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Provider Business Mailing Address
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Address Line | 7028 E THUNDERBIRD RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4049
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Country | US
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Telephone | 215-752-2287
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Fax | 215-322-6067
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CATHY ANNUNZIATA
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Credential |
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Telephone | 908-223-1945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS005689L
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License Number State | PA
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