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NPI Code Detail

MEDICARE: SHAYNE OAK PEARSON

MEDICARE: SHAYNE OAK PEARSON
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1356052633
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNE OAK PEARSON
Provider Business Mailing Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number : 303-504-6500
Fax Number :
Provider Business Practice Location Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number : 303-504-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 01/05/2026

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Directions to “ SHAYNE OAK PEARSON ” Practice Location

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