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General NPI Number Information
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NPI Number | 1861514580
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Entity Type | Organization
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Legal Business Name | JOHN A SHIELDS MD AND STEVEN A SCHIFF MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 5423 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-329-0873
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Fax | 775-329-1026
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Provider Business Mailing Address
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Address Line | 5423 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511-2250
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Country | US
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Telephone | 775-220-0800
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Fax | 775-329-1026
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Authorized Official
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Title or Position | CEO
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Name | WESLEY FALCONER
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Credential |
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Telephone | 775-220-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 3362
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License Number State | NV
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