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Individual
ROBERT SHUMATE
Active
Individual
ROBERT SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195095
LABOR & INDUSTRY
WA
01
—
5305SH
REGENCE RIDER #
WA
01
—
7322199
AETNA
WA
01
—
8342156
DSHS
WA
05
—
8342156
—
WA
01
—
8904846
CRIME VICTIMS
WA
01
—
911745305-98275-A012
TRICARE
WA
01
—
P00317846
RR MEDICARE
WA
Enumeration date
06/12/2006
Last updated
07/08/2007
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