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Individual
SHANE HAMON
Active
Individual
SHANE HAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M3569
TX
207L00000X
Anesthesiology Physician
MD60240914
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518907849
—
WA
01
—
P01314802
RR MEDICARE
WA
Enumeration date
06/07/2006
Last updated
06/06/2025
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