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Individual
VIRGINIA E SHAFER
Active
Individual
VIRGINIA E SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD025185E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009093820009
—
PA
01
—
146127
BLUE SHIELD
PA
01
—
P00260454
RAILROAD MEDICARE
PA
Enumeration date
08/01/2006
Last updated
03/09/2012
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