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Individual
MR. LEE THOMAS SHUPING
Active
Individual
MR. LEE THOMAS SHUPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0116023402
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2015-00533
NC
225100000X
Physical Therapist
10443
NC
Other
Enumeration date
03/27/2007
Last updated
10/26/2017
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