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NPI Code Detail

MEDICARE: ASUL SHAFFER

MEDICARE:   ASUL  SHAFFER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP.9768OH
2235Z00000XSpeech-Language PathologistSL012249PA

General Provider Information

NPI Number : 1326462227
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASUL SHAFFER
Provider Business Mailing Address
First Line : 37 CENTRAL AVE
Second Line :
City : WELLSBORO
State : PA
Zip : 16901-1857
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 37 CENTRAL AVE
Second Line :
City : WELLSBORO
State : PA
Zip : 16901-1857
Country : US
Telephone Number : 419-699-8110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2014
Last Update Date : 07/12/2021

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Directions to “ ASUL SHAFFER ” Practice Location

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