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General NPI Number Information
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NPI Number | 1881888188
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Entity Type | Organization
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Legal Business Name | ALLAN N SHULKIN MD PA
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 7777 FOREST LN STE B202
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City | DALLAS
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State | TX
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Zip | 75230-2509
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Country | US
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Telephone | 972-566-8900
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Fax | 972-566-7993
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN B202
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City | DALLAS
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State | TX
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Zip | 75230-2505
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Country | US
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Telephone | 972-566-8900
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Fax | 972-566-8491
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLAN NEIL SHULKIN
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Credential | MD
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Telephone | 972-566-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | TX
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