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Individual
DR. HAROLD E SHAW JR.
Active
Individual
DR. HAROLD E SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
19545
NC
207W00000X
Ophthalmology Physician
Primary
8984
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1581706003
CIGNA PROVIDER NUMBER
SC
01
—
180018440
MEDICARE RAILROAD
SC
01
—
4328796
AETNA PROVIDER NUMBER
SC
05
—
89843
—
SC
Enumeration date
01/25/2006
Last updated
10/22/2007
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