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General NPI Number Information
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NPI Number | 1932402492
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Entity Type | Organization
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Legal Business Name | ALLEN SHUMAN DPM PC
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 1815 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10472-3007
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Country | US
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Telephone | 718-893-8866
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Fax | 718-904-8601
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Provider Business Mailing Address
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Address Line | 1815 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10472-3007
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Country | US
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Telephone | 718-893-8866
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Fax | 718-904-8601
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Authorized Official
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Title or Position | OWNER
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Name | ALLEN SHUMAN
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Credential | DPM
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Telephone | 718-893-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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