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General NPI Number Information
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NPI Number | 1891750550
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Entity Type | Individual
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Provider Name | WILLIAM ORLON SHAFFER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 740 S. LIMESTONE STREET K-416 KENTUCKY CLINIC
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City | LEXINGTON
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State | KY
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Zip | 40536-0284
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Country | US
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Telephone | 859-323-5533
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Fax | 859-323-2412
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Provider Business Mailing Address
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Address Line | 1200 1ST AVE E STE C NORTHWEST IOWA BONE JOINT & SPORTS SURGEONS
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City | SPENCER
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State | IA
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Zip | 51301-4342
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Country | US
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Telephone | 712-262-7511
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Fax | 712-262-3658
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 36600
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License Number State | KY
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