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NPI 1902021637

NPI 1902021637 : DONALD FRANCIS SHOFF D.D.S., M.S. : RED BLUFF, CA

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General NPI Number Information
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    NPI Number           |    1902021637
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    Entity Type          |    Individual 
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    Provider Name        |    DONALD FRANCIS SHOFF D.D.S., M.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/16/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    350 WALNUT ST 
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    City                 |    RED BLUFF
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    State                |    CA
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    Zip                  |    96080-3347
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    Country              |    US
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    Telephone            |    530-529-1997
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    Fax                  |    530-529-0935
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Provider Business Mailing Address
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    Address Line         |    350 WALNUT STREET P.O. BOX 1133
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    City                 |    RED BLUFF
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    State                |    CA
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    Zip                  |    96080
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    Country              |    US
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    Telephone            |    530-529-1997
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    Fax                  |    530-529-0935
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    032903
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    License Number State |    CA
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