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Individual
SHANE A ZIM
Active
Individual
SHANE A ZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD60489025
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD60489025
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047218
—
WA
Enumeration date
08/31/2006
Last updated
12/16/2021
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