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General NPI Number Information
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NPI Number | 1982556627
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Entity Type | Organization
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Legal Business Name | SHOSHANA D HALLOWELL MD PLLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 214 S BROADWAY ST
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City | LAKE ORION
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State | MI
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Zip | 48362-4203
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Country | US
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Telephone | 248-690-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 3195 OXFORD W
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City | AUBURN HILLS
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State | MI
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Zip | 48326-3966
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Country | US
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Telephone | 407-919-8667
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Fax |
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Authorized Official
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Title or Position | GENERAL & BREAST SURGEON
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Name | DR. SHOSHANA D HALLOWELL
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Credential | MD
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Telephone | 407-919-8667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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