# MR. SHAUN O DOLEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710015466
- **Gender:** Man
- **Credential:** C.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224P00000X | Prosthetist | — | — | Yes |
| 225000000X | Orthotic Fitter | — | NC | — |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 11/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7795114 | — | NC |