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General NPI Number Information
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NPI Number | 1982581096
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Entity Type | Individual
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Provider Name | LANCE DANIEL SHEN-KINNY DVM
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Gender |
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 325 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19106-2614
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Country | US
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Telephone | 833-463-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 848 W 33RD ST
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City | BALTIMORE
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State | MD
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Zip | 21211-2709
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Country | US
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Telephone | 908-456-4250
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 14752
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License Number State | MD
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