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Individual
ANDREW CARL SHORE
Active
Individual
ANDREW CARL SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022027327
MO
207R00000X
Internal Medicine Physician
U6078
TX
208000000X
Pediatrics Physician
2022027327
MO
208M00000X
Hospitalist Physician
Primary
U6078
TX
Other
Enumeration date
03/29/2018
Last updated
07/15/2026
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