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Individual
MS. CARA SHOSHANA DOUGLASS
Active
Individual
MS. CARA SHOSHANA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011-01494
NC
207R00000X
Internal Medicine Physician
58.002480
OH
207R00000X
Internal Medicine Physician
Primary
87933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918234
—
NC
01
—
NC2698A
MEDICARE PTAN
NC
01
—
P01019062
RR MEDICARE
NC
Enumeration date
08/07/2008
Last updated
04/22/2026
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