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Individual
VICKI P SHAUB
Active
Individual
VICKI P SHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6549
TN
363LF0000X
Family Nurse Practitioner
Primary
6594
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6594
APN
—
Enumeration date
04/26/2007
Last updated
10/26/2020
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