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General NPI Number Information
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NPI Number | 1871648899
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Entity Type | Individual
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Provider Name | WILLIAM E SHULL OD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 100 W LYNCH ST
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City | PLAINS
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State | MT
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Zip | 59859-0747
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Country | US
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Telephone | 406-826-3761
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Fax | 406-826-3761
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Provider Business Mailing Address
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Address Line | BOX 747 100 W LYNCH ST
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City | PLAINS
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State | MT
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Zip | 59859-0747
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Country | US
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Telephone | 406-826-3761
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Fax | 406-826-3761
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 322
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License Number State | MT
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