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Individual
PAUL EUGENE SHIELDS
Active
Individual
PAUL EUGENE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010676L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001370726
HIGHMARK BCBS
PA
05
—
0018397920004
—
PA
05
—
03446839
—
NY
Enumeration date
06/14/2005
Last updated
10/10/2019
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