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General NPI Number Information
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NPI Number | 1023563905
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Entity Type | Individual
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Provider Name | DHAVAL SHAH DDS
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Gender | Male
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 6662 HIGHWAY 75
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City | PINSON
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State | AL
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Zip | 35126-3254
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Country | US
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Telephone | 205-693-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 3322 W END AVE STE 400
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City | NASHVILLE
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State | TN
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Zip | 37203-6805
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Country | US
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Telephone | 629-999-5014
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D-6871-C
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 32255
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D-6871-C
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License Number State | AL
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